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
Organization subpart
Yes
Parent organization
ST. JOSEPH MEDICAL CENTER PHYSICIANS, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Thomas Smyth
Title
President and Ceo
Phone
(410) 337-1602

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2024.

{
    "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.