NPIMap

Organization Active NPI

Potomac Center for Chronic Pain Management and Wellness, LLC

  • Pain Medicine Physician
  • Upper Marlboro, MD
National Provider Identifier
1891392775
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
POTOMAC CENTER FOR CHRONIC PAIN MANAGEMENT AND WELLNESS, LLC
Practice address
9658 Marlboro Pike
Upper Marlboro, MD 20772-3767
Phone
(240) 788-7502
Fax
(240) 838-5184
NPI assigned
Oct 5, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Dr. Janet L Wasson, MDNPI 1790767069
Title
Owner
Phone
(240) 788-7502

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 Physician 208VP0000X NU Primary

Addresses

Primary practice location

9658 Marlboro Pike
Upper Marlboro, MD 20772-3767

Mailing address

9658 Marlboro Pike
Upper Marlboro, MD 20772-3767
Phone (240) 788-7502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1891392775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9658 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723767",
            "telephone_number": "240-788-7502",
            "fax_number": "240-838-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723767",
            "telephone_number": "240-788-7502",
            "fax_number": "240-838-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC CENTER FOR CHRONIC PAIN MANAGEMENT AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-788-7502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.