NPIMap

Organization Active NPI

Pain and Spine Specialists of Maryland, LLC.

  • Primary Care Clinic/Center
  • Mount Airy, MD
National Provider Identifier
1831795244
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC.
Practice address
2702 Back Acre Cir Ste 290B
Mount Airy, MD 21771-7769
Phone
(301) 703-8767
Fax
(301) 703-8886
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Sudhir R Rao, AONPI 1629103759
Title
Owner/ Practitioner
Phone
(301) 703-8767

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2702 Back Acre Cir Ste 290B
Mount Airy, MD 21771-7769

Mailing address

PO Box 16270
Belfast, ME 04915-4057
Phone (301) 703-8767

National Provider Directory

National Provider Directory
Tax ID family
Pain Spine Specs of MD16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

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": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1831795244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16270",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154057",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 BACK ACRE CIR STE 290B",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717769",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ PRACTITIONER",
        "authorized_official_telephone_number": "301-703-8767",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.