Personalized Spine & Pain Care P.C

Primary specialty

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X

License

D0070038 Issued in MD

Legal business name

PERSONALIZED SPINE & PAIN CARE P.C

Practice address

1160 Varnum St NE
Suite 212
Washington, DC 20017-2107

Phone

(202) 507-8444

Fax

(202) 507-8503

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ayasha L'Daire Williams-Sharron, M.D.NPI 1043430309

Title

Owner

Phone

(866) 301-4762

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ayasha Williams-Sharron, MD

  • Interventional Pain Medicine Physician
  • Hyattsville, MD
  • NPI 1043430309
  NPD Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1720352230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29397",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200170397",
            "telephone_number": "866-301-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE 212",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-507-8444",
            "fax_number": "202-507-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED SPINE & PAIN CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-SHARRON",
        "authorized_official_first_name": "AYASHA",
        "authorized_official_middle_name": "L'DAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-301-4762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D0070038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Ann Person
• Jacqueline L Person
• Margaret Ann Person
• Mary Jo E Person, NP
• Victoria Person, MD
• Personic Health DC PLLC
• Trey Cameron Persson, DPT, ATC
• Alekhya Peruri, DO
• Gina Cheri Pervall, MD
• Lindsay Pesacreta, N.P.

• Physical Medicine & Rehabilitation Physician in Washington, DC
• Providers in Washington, DC by specialty
• Physical Medicine & Rehabilitation Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.