NPIMap

Organization Active NPI

1St Medical Pain Management Specialists

  • Adult Mental Health Clinic/Center
  • Towson, MD
National Provider Identifier
1558036962
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Practice address
7600 Osler Dr Ste 105
Towson, MD 21204-7705
Phone
(410) 825-4500
Fax
(410) 956-6803
NPI assigned
Aug 9, 2021
Organization subpart
Yes
Parent organization
1ST MEDICAL OF ANNAPOLIS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Authorized official

Name
Rosemary Ingado, PHYSICIAN ASSISTANT
Title
Clinical Administrator
Phone
(410) 956-6800

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Multi-Specialty Clinic/Center 261QM1300X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X

Addresses

Primary practice location

7600 Osler Dr Ste 105
Towson, MD 21204-7705

Mailing address

7600 Osler Dr Ste 105
Towson, MD 21204-7705
Phone (410) 825-4500

Other names 1

  • 1st Medical Painrehab Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1St Medical Pain Management Specialists7 organizations share this tax ID, including this one
Part of
1St Medical of Annapolis

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642896000000",
    "number": "1558036962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR STE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047705",
            "telephone_number": "410-825-4500",
            "fax_number": "410-956-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR STE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047705",
            "telephone_number": "410-825-4500",
            "fax_number": "410-956-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST MEDICAL PAIN MANAGEMENT SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1ST MEDICAL OF ANNAPOLIS, INC.",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A",
        "authorized_official_last_name": "INGADO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "410-956-6800",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Medical Painrehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.