Individual provider Active NPI

David Elliot Jamison, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Hagerstown, MD
National Provider Identifier
1497852677
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D67384 Issued in MD
Practice address
17 Western Maryland Pkwy Ste 100
Hagerstown, MD 21740-5471
Phone
(301) 797-9240
Fax
(301) 797-4234
NPI assigned
Sep 20, 2006
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0067384 MD
Anesthesiology Physician 207L00000X 01059930A IN
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101248964 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X D67384 MD Primary

Addresses

Primary practice location

17 Western Maryland Pkwy Ste 100
Hagerstown, MD 21740-5471

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (301) 797-9240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000210 MD Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7315015385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

17 Western Maryland Pkwy
100 Wellspan Parkway Neurosurgery
Hagerstown, MD 21740-5471
Phone (301) 797-9240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01059930AINMDAnesthesiology Physician
D0067384MDMDAnesthesiology Physician
D67384MDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Apr 25, 2021 Accepting new patients
Northstar Anesthesia of Maryland LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Apr 25, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Advanced Spine and Pain PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Associated Anesthesiology Practice P.a. Anesthesiology Past Accepting new patients

Locations

17 Western Maryland Pkwy
Ste 100
Hagerstown, MD 21740
Phone (301) 797-6389

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

52 Water St
Thurmont, MD 21788
Phone (301) 271-3535

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: djamison1104553@direct.umm.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1497852677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "301-797-9240",
            "fax_number": "301-797-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY STE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-797-9240",
            "fax_number": "301-797-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "DAVID",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0067384",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059930A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101248964",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D67384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.