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FAIRWOOD SPINE AND PAIN CENTER NPI 1235484353

NPI Profile

NPI: 1235484353

Provider Name: FAIRWOOD SPINE AND PAIN CENTER

Classification: Pain Medicine - 208VP0014X

Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
6911 LAUREL BOWIE RD
STE 212
BOWIE, MD
ZIP 20715

Phone: (301) 776-6500

FAIRWOOD SPINE AND PAIN CENTER is an interventional pain medicine physician in Bowie, MD. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. FAIRWOOD SPINE AND PAIN CENTER NPI is 1235484353. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6911 LAUREL BOWIE RD
STE 212
BOWIE, MD
ZIP 20715-712
Phone: (301) 776-6500
Fax: (301) 965-0919

The provider's authorized official is Joseph Oppong .
The authorized official title is Co-director/president and has the following contact phone number (301) 776-6500.

The enumeration date for this NPI number is 7/15/2012 and was last updated on 12/2/2014.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208VP0014X Pain Medicine Interventional Pain Medicine D0072898 MARYLAND No
2 208VP0014X Pain Medicine Interventional Pain Medicine D0066706 MARYLAND Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015