NPIMap

Organization Active NPI

Potomac Institute of Pain Management and Palliative Care Services

  • Multi-Specialty Clinic/Center
  • Frederick, MD
National Provider Identifier
1689397739
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
POTOMAC INSTITUTE OF PAIN MANAGEMENT AND PALLIATIVE CARE SERVICES
Practice address
8435 Progress Dr Ste Ee
Frederick, MD 21701-4981
Phone
(301) 624-5390
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Gloria Corbin
Title
Director of Finance
Phone
(301) 732-6300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

8435 Progress Dr Ste Ee
Frederick, MD 21701-4981

Mailing address

8435 Progress Dr Ste Ee
Frederick, MD 21701-4981
Phone (301) 624-5390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address intake@potomacha.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1689397739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 PROGRESS DR STE EE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014981",
            "telephone_number": "301-624-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 PROGRESS DR STE EE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014981",
            "telephone_number": "301-624-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC INSTITUTE OF PAIN MANAGEMENT AND PALLIATIVE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "301-732-6300"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@potomacha.com",
            "affiliation": "N",
            "address_1": "8435 Progress Dr Ste Ee",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217014981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.