NPIMap

Organization Active NPI

University of Maryland St. Joseph Pain Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Towson, MD
National Provider Identifier
1639645393
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
UNIVERSITY OF MARYLAND ST. JOSEPH PAIN SPECIALISTS, LLC
Practice address
8322 Bellona Ave
Suite 330
Towson, MD 21204-2065
Phone
(410) 825-8965
Fax
(410) 825-8974
NPI assigned
Oct 22, 2018
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. JOSEPH MEDICAL CENTER PHYSICIANS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Thomas SmythNPI 1245286251
Title
President and Ceo
Phone
(410) 337-1602

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 (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

8322 Bellona Ave
Suite 330
Towson, MD 21204-2065

Mailing address

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-1602

Other practice location 1

1 Texas Station Ct Ste 300
Timonium, MD 21093-8289
Phone (410) 825-8965

Other practice location 2

104 Plumtree Rd Ste 103
Bel Air, MD 21015-6095
Phone (410) 825-8965

Other practice location 3

7505 Osler Dr Ste 500
Towson, MD 21204-7736
Phone (410) 825-6945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181210003277 MD Part B Supplier - Clinic/Group Practice 7618211160 Receives reassigned benefits from 10 practitioners
Practice locations: Bel Air, MD; Towson, MD; Timonium, MD; Hunt Valley, MD

National Provider Directory

National Provider Directory

Locations

104 Plumtree Rd
Ste 103
Bel Air, MD 21015
Phone (410) 825-8965

7505 Osler Dr
Ste 500
Towson, MD 21204
Phone (410) 337-4882

8322 Bellona Ave
Ste 330
Towson, MD 21204
Phone (410) 825-6965

Practitioners & affiliated clinicians

Practitioners 11

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": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1639645393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 OSLER DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047700",
            "telephone_number": "410-337-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE",
            "address_2": "SUITE 330",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-825-8965",
            "fax_number": "410-825-8974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Texas Station Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210938289",
            "country_code": "US",
            "telephone_number": "410-825-8965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Plumtree Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156095",
            "country_code": "US",
            "telephone_number": "410-825-8965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Osler Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047736",
            "country_code": "US",
            "telephone_number": "410-825-6945",
            "fax_number": "410-825-8974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND ST. JOSEPH PAIN SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH MEDICAL CENTER PHYSICIANS, LLC",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "410-337-1602"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.