1ST MEDICAL PAIN MANAGEMENT SPECIALISTS – NPI #1932876695
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

1ST MEDICAL PAIN MANAGEMENT SPECIALISTS is an AHC clinic located in EDGEWATER, MD. NPPES has assigned the NPI number 1932876695 to 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS on August 30, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Jan 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS below.

NPI Profile for
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS

NPI Number
1932876695
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Primary location
20 MAYO RD STE 201
EDGEWATER, MD 21037-1442
Phone: (410) 956-6800 Fax: (410) 956-6800
Mailing address
Same as primary location
Organization Subpart
Yes - 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS is subpart of another organization.
Authorized Official
ROSEMARY INGADO
CLINICAL ADMINISTRATOR
Phone: (410) 956-6800
Updated
Certification Date
Jan 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
261QR0800X
- Clinic/Center / Recovery Care
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder
261QR0401X
- Clinic/Center / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
261QP3300X
- Clinic/Center / Pain
261QM1300X
- Clinic/Center / Multi-Specialty
101YP2500X
- Counselor / Professional
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.