Maryland Pain and Spine Center, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

MARYLAND PAIN AND SPINE CENTER, LLC

Practice address

844 Washington Rd Ste 207
Westminster, MD 21157-6664

Phone

(410) 751-7246

Fax

(410) 751-8991

NPI assigned

Oct 17, 2019

Organization subpart

Yes

Parent organization

MARYLAND PAIN AND SPINE CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Janai Bassler

Title

Practice Manager

Phone

(410) 751-7246

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Maryland Pain and Spine Center, LLC Other name

Electronic endpoints 1

Part of

Maryland Pain and Spine Center LLC

Locations

Practitioners 1

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

• Vajira R. P. Gunawardane, MD

  • Specialist
  • Fulton, MD
  • NPI 1447294269
  NPD

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1669014098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD STE 207",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576664",
            "telephone_number": "410-751-7246",
            "fax_number": "410-751-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD STE 207",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576664",
            "telephone_number": "410-751-7246",
            "fax_number": "410-751-8991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 Maple Lawn Blvd",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MD",
            "postal_code": "207592565",
            "country_code": "US",
            "telephone_number": "301-490-6085",
            "fax_number": "301-490-3873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND PAIN AND SPINE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND PAIN AND SPINE CENTER, LLC",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "BASSLER",
        "authorized_official_first_name": "JANAI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-751-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "031LP936",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mdpainandspine.com",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "address_1": "844 Washington Rd Ste 207",
            "city": "Westminster",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211576664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maryland Pain and Spine Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maryland Pain and Spine Center, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Maryland Pain and Spine Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maryland CVS Pharmacy LLC
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• Maryland Orthotics and Prosthethics Co, Inc.
• Maryland Pain and Spine Center, L.L.C.
• Maryland Psychiatry LLC
• Maryland Sportscare & Rehab LLC
• Maryland Sportscare & Rehab LLC
• Maryland Sportscare & Rehab, LLC
• Maryland Sportscare & Rehab, LLC

• All providers in Westminster, MD
• Interventional Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.