Organization Active NPI

Glenn S. Price, MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
National Provider Identifier
1790824563
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GLENN S. PRICE, MD PC
Practice address
7850 Rossville Blvd Ste 220
Baltimore, MD 21236-3934
Phone
(410) 764-1974
Fax
(866) 556-5704
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Dr. Glenn S Price, M.D.NPI 1881659431
Title
President
Phone
(410) 764-1974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

7850 Rossville Blvd Ste 220
Baltimore, MD 21236-3934

Mailing address

3306 Fallstaff Rd
Baltimore, MD 21215-1723
Phone (410) 764-1974

Other practice location 1

1829 Reisterstown Rd
Suite 130
Pikesville, MD 21208-6320
Phone (410) 764-1974

Other practice location 2

3306 Fallstaff Rd
Baltimore, MD 21215-1723
Phone (410) 764-1974

Other identifiers 1

IdentifierTypeStateIssuer
090351500MedicaidMD

Other names 1

  • THE PAIN MANAGEMENT GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070611000509 MD Part B Supplier - Clinic/Group Practice 6901904218 Receives reassigned benefits from 1 practitioner
Practice locations: Nottingham, MD; Pikesville, MD; Westminster, MD; Baltimore, MD

National Provider Directory

National Provider Directory

Locations

8615 Ridgelys Choice Dr
Ste 104
Nottingham, MD 21236
Phone (410) 529-3913

7850 Rossville Blvd
Ste 220
Nottingham, MD 21236
Phone (410) 764-1974

1829 Reisterstown Rd
Ste 130
Pikesville, MD 21208
Phone (410) 764-1974

217 Washington Heights Med Ctr
Westminster, MD 21157
Phone (410) 876-3033

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1790824563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 FALLSTAFF RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151723",
            "telephone_number": "410-764-1974",
            "fax_number": "410-764-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 ROSSVILLE BLVD STE 220",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363934",
            "telephone_number": "410-764-1974",
            "fax_number": "866-556-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 Reisterstown Rd",
            "address_2": "SUITE 130",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212086320",
            "country_code": "US",
            "telephone_number": "410-764-1974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3306 Fallstaff Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212151723",
            "country_code": "US",
            "telephone_number": "410-764-1974",
            "fax_number": "410-764-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLENN S. PRICE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-764-1974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090351500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PAIN MANAGEMENT GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE PAIN MANAGEMENT GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.