NPIMap

Organization Active NPI

Providence Pain Management Center, P.a.

  • Interventional Pain Medicine Physician
  • Salisbury, MD
National Provider Identifier
1902364052
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
Practice address
201 Pine Bluff Rd
Ste 1
Salisbury, MD 21801-1401
Phone
(410) 268-2000
NPI assigned
Mar 7, 2019
Organization subpart
Yes
Parent organization
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Joseph Oppong Jr., M.D.NPI 1174664007
Title
President/Director
Phone
(301) 755-9500

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

201 Pine Bluff Rd
Ste 1
Salisbury, MD 21801-1401

Mailing address

6911 Laurel Bowie Rd
Suite 212
Bowie, MD 20715-1400
Phone (301) 750-9500

Other names 1

  • Innovative Pain Solutions Centers Doing business as

National Provider Directory

National Provider Directory
Part of
Providence Pain Management Center PA

Locations

201 Pine Bluff Rd
Ste 1
Salisbury, MD 21801
Phone (410) 248-2000

Practitioners & affiliated clinicians

Practitioners 3

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": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1902364052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD",
            "address_2": "SUITE 212",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151400",
            "telephone_number": "301-750-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD",
            "address_2": "STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218011401",
            "telephone_number": "410-268-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PAIN MANAGEMENT CENTER, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE PAIN MANAGEMENT CENTER, P.A.",
        "enumeration_date": "2019-03-07",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "OPPONG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "301-755-9500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Pain Solutions Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.