CARROLL COUNTY MSO INC NPI 1992856025

NPI Information

  • NPI: 1992856025
  • Provider Name: CARROLL COUNTY MSO INC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 21D0649749
  • Address: 208 E RIDGEVILLE BLVD
    201
    MOUNT AIRY, MD
    ZIP 21771
  • Phone: (301) 829-7683

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NPI Details

CARROLL COUNTY MSO INC is a pain medicine anesthesiology in Mount Airy, MD. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. CARROLL COUNTY MSO INC NPI is 1992856025. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 E RIDGEVILLE BLVD
201
MOUNT AIRY, MD
ZIP 21771-219
Phone: (301) 829-7683
Fax: (301) 829-7694

The provider's authorized official is Vajira Gunawardane .
The authorized official title is Physician Director and has the following contact phone number (410) 871-6139.

The CLIA number assigned to this NPI record is 21D0649749 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/16/2007 and was last updated on 10/16/2007.

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 MedicineD0047120MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1031LMEDICARE PINVIRGINIA

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: 11/21/2025

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