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INTERVENTIONAL PAIN & SPINE CARE ASC LLC NPI 1720763444


NPI Information

NPI: 1720763444
Provider Name: INTERVENTIONAL PAIN & SPINE CARE ASC LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3280 URBANA PIKE STE 207
IJAMSVILLE, MD
ZIP 21754
Phone: (301) 874-3431
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INTERVENTIONAL PAIN & SPINE CARE ASC LLC is an ambulatory surgical clinic center in Ijamsville, MD. INTERVENTIONAL PAIN & SPINE CARE ASC LLC NPI is 1720763444. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3280 URBANA PIKE STE 207
IJAMSVILLE, MD
ZIP 21754-406
Phone: (301) 874-3431
Fax: (301) 874-3416

The provider's authorized official is Juliet Gyebi-foster .
The authorized official title is Owner and has the following contact phone number (301) 874-3431.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 6/20/2023.


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
1207LP2900XAnesthesiologyPain MedicineNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineNo
4261QP3300XClinic/CenterPainNo
5261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.