Organization Active NPI

Mid-Atlantic Pain Institute PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Elkton, MD
National Provider Identifier
1700050937
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MID-ATLANTIC PAIN INSTITUTE PA
Practice address
101 Chesapeake Blvd Ste B
Elkton, MD 21921
Phone
(443) 303-8987
Fax
(443) 715-0020
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Frank John Falco, MD
Title
Medical Director
Phone
(443) 303-8987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

101 Chesapeake Blvd Ste B
Elkton, MD 21921

Mailing address

100 Biddle Ave
Suite 101
Newark, DE 19702-3981
Phone (302) 369-1700

Other identifiers 1

IdentifierTypeStateIssuer
894202100MedicaidMD

Other names 1

  • Mid Atlantic Spine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1700050937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BIDDLE AVE",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023981",
            "telephone_number": "302-369-1700",
            "fax_number": "302-838-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD STE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "443-303-8987",
            "fax_number": "443-715-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PAIN INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-303-8987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894202100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Atlantic Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.