Garrett Anesthesia and Pain Management

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

GARRETT ANESTHESIA AND PAIN MANAGEMENT

Practice address

4 S Broadway
Frostburg, MD 21532-1708

Phone

(301) 689-3138

Fax

(301) 689-9561

NPI assigned

Sep 5, 2024

Organization subpart

Yes

Parent organization

GARRETT ANESTHESIA AND PAIN MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Melvin R Gonzaga, MD

Title

Owner

Phone

(240) 362-7128

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gonzaga Interventional Pain Management Other name

Tax ID family

Garrett Anesthesia and Pain Management5 organizations share this tax ID, including this one

Part of

Garrett Anesthesia and Pain Management

Other organizations with this tax ID 4

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

• Garrett Anesthesia & Pain MGMT

  • Physical Therapist
  • Lavale, MD
  • NPI 1518412782
  NPD tax ID
• Garrett Anesthesia and Pain Management

  • Pain Medicine Physician
  • Lavale, MD
  • NPI 1104276211
  NPD tax ID
• Garrett Anesthesia and Pain Management

  • Pain Medicine Physician
  • Lavale, MD
  • NPI 1154122273
  NPD tax ID
• Garrett Anesthesia and Pain Management

  • Pain Medicine Physician
  • Hagerstown, MD
  • NPI 1861351140
  NPD tax ID

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1932934353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NATIONAL HWY STE 3",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027356",
            "telephone_number": "240-362-7128",
            "fax_number": "240-362-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S BROADWAY",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321708",
            "telephone_number": "301-689-3138",
            "fax_number": "301-689-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT ANESTHESIA AND PAIN MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARRETT ANESTHESIA AND PAIN MANAGEMENT",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "GONZAGA",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-362-7128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654131301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonzaga Interventional Pain Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frostburg SNF Operator LLC
• Frostburg SNF Operator LLC
• Laura Fry, PHARMD RPH
• Kendall Gaither
• Brittany Ann Gardner
• Kathleen Gibbons
• Brianna Glascoe
• Elizabeth Gonzalez, D.D.S
• Douglas S Goodell Jr.
• Shirley Ann Guinn

• Pain Medicine Physician in Frostburg, MD
• Providers in Frostburg, MD by specialty
• Pain Medicine Physician in Maryland

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