Metropolitan Pain PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

METROPOLITAN PAIN PA

Practice address

9501 Old Annapolis Rd Ste 305
Ellicott City, MD 21042-6337

Phone

(301) 490-6698

NPI assigned

Aug 24, 2022

Organization subpart

Yes

Parent organization

METROPOLITAN PAIN PAAs reported in NPPES

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

Authorized official

Name

Levi Pearson, MD

Title

Owner

Phone

(443) 367-0011

Specialties & licenses 1

Addresses

Other names 1

• Metropolitan Spine ASC Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Ambulatory surgical center certification: CCN 21C0001631

Legal name

METROPOLITAN SPINE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 11, 2020

Last certification

Nov 20, 2020

Ownership / control type

Proprietary

Facility address

9501 Old Annapolis Road, Suite 305
Ellicott City, MD 21042

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Metropolitan Pain PA

  • Ambulatory Surgical Clinic/Center
  • Ellicott City, MD
  • NPI 1972690121

  O20200831002125

  Same enrollment

Part of

Metropolitan Pain PA

Locations

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.

• Metropolitan Pain PA

  • Ambulatory Surgical Clinic/Center
  • Ellicott City, MD
  • NPI 1972690121
  NPPES parent name

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1578282471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "301-490-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "301-490-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PAIN PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN PAIN PA",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-367-0011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Spine ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Meshbesher
• Rosina Grace Epolle Mesumbe, PHARMD
• Metamorphosis Plastic Surgery, LLC
• Artemis Metaxa Kakavouli, DDS
• Taylor Metcalfe, MS, OTR/L
• Metropolitan Pain PA
• Stephen Louis Meyer, DDS
• Kristin Meyering, PHD
• Emily Jean Meyers, FNP
• Onorine Mfondoh Bih

• Ambulatory Surgical Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.