Organization Active NPI

Delmarva Pain Associates, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Salisbury, MD
National Provider Identifier
1700033990
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DELMARVA PAIN ASSOCIATES, LLC
Practice address
201 Pine Bluff Rd
Suite 25
Salisbury, MD 21801-7163
Phone
(410) 742-7246
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Conworth Dayton-Jones, MD
Title
President
Phone
(410) 742-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

201 Pine Bluff Rd
Suite 25
Salisbury, MD 21801-7163

Mailing address

201 Pine Bluff Rd
Suite 25
Salisbury, MD 21801-7163
Phone (410) 742-7246

Other identifiers 1

IdentifierTypeStateIssuer
416007000MedicaidMD

National Provider Directory

National Provider Directory

Locations

201 Pine Bluff Rd
Ste 25
Salisbury, MD 21801
Phone (410) 546-1353

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1700033990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD",
            "address_2": "SUITE 25",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163",
            "telephone_number": "410-742-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD",
            "address_2": "SUITE 25",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163",
            "telephone_number": "410-742-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA PAIN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "DAYTON-JONES",
        "authorized_official_first_name": "CONWORTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-742-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416007000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.