BALTIMORE PAIN RELIEF CENTER – NPI #1568749125
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BALTIMORE PAIN RELIEF CENTER is a provider located in WHITE MARSH, MD. NPPES has assigned the NPI number 1568749125 to BALTIMORE PAIN RELIEF CENTER on November 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BALTIMORE PAIN RELIEF CENTER” is a dba name, the actual legal business name for this organization is MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 14 years ago on Apr 30, 2012. 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 BALTIMORE PAIN RELIEF CENTER below.

NPI Profile for
MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC

NPI Number
1568749125
Enumeration Date

(more than 14 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
MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC
Doing Business As (dba): BALTIMORE PAIN RELIEF CENTER
Primary location
5430 CAMPBELL BLVD
SUITE 106
WHITE MARSH, MD 21162-5500
Phone: (443) 725-4930 Fax: (443) 725-4933
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY GOBER
OWNER
Phone: (443) 725-4930
Updated
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
208D00000X
- General Practice (Primary)
MD 60828
363A00000X
- Physician Assistant
MD 3824
207R00000X
- Internal Medicine
MD 73023
111N00000X
- Chiropractor
MD 3470

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.