NPIMap

Organization Active NPI

Mid-Atlantic Pain Institute, P.a.

  • Interventional Pain Medicine Physician
  • Elkton, MD
National Provider Identifier
1790849362
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0047325 Issued in MD
Legal business name
MID-ATLANTIC PAIN INSTITUTE, P.A.
Practice address
101 Chesapeake Blvd Ste B
Elkton, MD 21921
Phone
(443) 303-8987
Fax
(443) 715-0020
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Frank John Falco, MD
Title
Medical Director
Phone
(302) 369-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X D0047325 MD Primary

Addresses

Primary practice location

101 Chesapeake Blvd Ste B
Elkton, MD 21921

Mailing address

100 Biddle Ave Ste 101
Newark, DE 19702-3982
Phone (302) 392-6501

Other identifiers 3

IdentifierTypeStateIssuer
894202100MedicaidMD
CI2358OtherMDRAILROAD MEDICARE
CF8249OtherDERAILROAD MEDICARE

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1790849362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BIDDLE AVE STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023982",
            "telephone_number": "302-392-6501",
            "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, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-07-30",
        "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": "302-369-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0047325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894202100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2358",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8249",
            "state": "DE"
        }
    ],
    "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 Jul 30, 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.