Chesapeake Pain Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

W11478880 Issued in MD

Legal business name

CHESAPEAKE PAIN CENTER, LLC

Practice address

2012 South Tollgate Road
Suite 102
Bel Air, MD 21015-5901

Phone

(443) 484-2828

Fax

(443) 484-2831

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Lee, M.D.

Title

Owner

Phone

(443) 484-2828

Specialties & licenses 1

Addresses

Other identifiers 8

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Michael Bury, PA

  • Physician Assistant
  • Olney, MD
  • NPI 1356611529
  NPD (past)
• Amit A Patel, PA-C

  • Physician Assistant
  • Bel Air, MD
  • NPI 1932330198
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1811142771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210140404",
            "telephone_number": "443-484-2828",
            "fax_number": "443-484-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 SOUTH TOLLGATE ROAD",
            "address_2": "SUITE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155901",
            "telephone_number": "443-484-2828",
            "fax_number": "443-484-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-484-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "W11478880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTH CARE",
            "identifier": "109766",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5571764",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003003100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "541744325",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541744325",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "K8170001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "220CCH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10229730",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Caring Companions
• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Lactation Services, LLC
• Chesapeake Radiology LLC
• Chesapeake Radiology of Bel Air (Chesapeake Radiology)
• Chesapeake Urology Associates P.a.
• Chesapeake Urology Associates, LLC
• Marla Chikar

• Ambulatory Surgical Clinic/Center in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.