NPIMap

Organization Active NPI

Smart Pain Management, LLC

  • Pain Medicine Physician
  • Baltimore, MD
National Provider Identifier
1639554835
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
SMART PAIN MANAGEMENT, LLC
Practice address
3421 Benson Ave
Suite 210
Baltimore, MD 21227-1056
Phone
(443) 693-7246
Fax
(443) 388-8075
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Ira Kornbluth, M.D.NPI 1609872266
Title
Ceo
Phone
(443) 693-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3421 Benson Ave
Suite 210
Baltimore, MD 21227-1056

Mailing address

2 Park Center CT
Suite 200
Owings Mills, MD 21117-4295
Phone (443) 693-7246

Other identifiers 1

IdentifierTypeStateIssuer
1240056MedicaidMD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1639554835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTER CT",
            "address_2": "SUITE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174295",
            "telephone_number": "443-693-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE",
            "address_2": "SUITE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271056",
            "telephone_number": "443-693-7246",
            "fax_number": "443-388-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "KORNBLUTH",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-693-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1240056",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.