NPIMap

Organization Active NPI

Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1962463265
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CENTER FOR PAIN MANAGEMENT, LLC
Practice address
1150 Professional CT Ste P
Hagerstown, MD 21740-4100
Phone
(301) 850-2768
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Shaneka Tinch
Title
RCM Manager
Phone
(469) 458-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1150 Professional CT Ste P
Hagerstown, MD 21740-4100

Mailing address

4960 SW 72ND Ave Ste 405
Miami, FL 33155-5506
Phone (469) 458-9222

Other practice location 1

11921 Rockville Pike
Suite 505
Rockville, MD 20852-2737
Phone (301) 881-7246

Other identifiers 4

IdentifierTypeStateIssuer
CN1752OtherMDRAILROAD MEDICARE
F220OtherMDBLUE CROSS
KE11CEOtherMDBLUE CROSS
305600700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, WV5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040629000496 MD Part B Supplier - Clinic/Group Practice 0547246555 Receives reassigned benefits from 95 practitioners
5 other NPIs on this enrollment
Practice locations: White Plains, MD; Waldorf, MD; Pikesville, MD; Hagerstown, MD; Glen Burnie, MD; Frederick, MD; Cumberland, MD; Annapolis, MD…
O20081125000276 DC Part B Supplier - Clinic/Group Practice 0547246555 Receives reassigned benefits from 71 practitioners
Practice locations: Berwyn Heights, MD; Bowie, MD; Chevy Chase, MD; Clinton, MD; Germantown, MD; MC Lean, VA; Oxon Hill, MD; Rockville, MD…
O20100930045274 MD DME Supplier - Physician - Interventional Pain Management 0547246555 Practice locations: Rockville, MD
O20100930097576 MD DME Supplier - Physician - Interventional Pain Management 0547246555 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hagerstown, MD
O20210106002060 WV Part B Supplier - Clinic/Group Practice 0547246555 Receives reassigned benefits from 2 practitioners
Practice locations: Martinsburg, WV

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3901 Greenspring Ave
Ste 305
Baltimore, MD 21211
Phone (410) 383-7443

3825 Greenspring Ave
#3
Baltimore, MD 21211
Phone (410) 383-7443

3407 Wilkens Ave
Ste 240
Baltimore, MD 21229
Phone (410) 644-8500

8824 Cunningham Dr
Ste D
Berwyn Heights, MD 20740
Phone (240) 542-3040

8824 Cunningham Dr
Ste B
Berwyn Heights, MD 20740
Phone (240) 542-3040

719 Maiden Choice Ln
Catonsville, MD 21228
Phone (410) 247-3400

1600 Crain Hwy S
Ste 301A
Glen Burnie, MD 21061

331 Oak Manor Dr
Ste 102
Glen Burnie, MD 21061
Phone (410) 266-2711

1150 Professional Ct
Ste B
Hagerstown, MD 21740
Phone (301) 797-4901

11921 Rockville Pike
Ste 105
Rockville, MD 20852

6820 Hospital Dr
Ste 302
Rosedale, MD 21237
Phone (410) 682-2823

6820 Hospital Dr
Rosedale, MD 21237
Phone (410) 682-2823

3460 Old Washington Rd
Ste 300
Waldorf, MD 20602
Phone (301) 645-1523

5010 Regency Pl
Ste 202A
White Plains, MD 20695
Phone (301) 645-1523

5010 Regency Pl
Ste 202B
White Plains, MD 20695
Phone (301) 645-1523

Practitioners & affiliated clinicians

Practitioners 112

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1962463265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "469-458-9222",
            "fax_number": "540-918-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PROFESSIONAL CT STE P",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404100",
            "telephone_number": "301-850-2768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11921 Rockville Pike",
            "address_2": "SUITE 505",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522737",
            "country_code": "US",
            "telephone_number": "301-881-7246",
            "fax_number": "301-881-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "TINCH",
        "authorized_official_first_name": "SHANEKA",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "469-458-9222"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN1752",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "F220",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "KE11CE",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305600700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.