NPI 1104661263 · live from the CMS NPI Registry
Advanced Pain Management Specialists, LLC
Pain Medicine, Interventional Pain Medicine in Owings Mills, MD. National Provider Identifier 1104661263, active.
NPI record
| NPI | 1104661263 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 7920 Mcdonogh Rd Ste 201, Owings Mills, MD 21117 |
| Practice phone | 855-527-7246 |
| Mailing address | 201 Defense Hwy Ste 205, Annapolis, MD 21401 |
| Enumerated | June 28, 2024 |
| Last updated | June 28, 2024 |
| Authorized official | Damean Freas, Ceo |
| Other names | Clearway Pain Solutions |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| 208VP0000X | — | |
| Pain Medicine, Interventional Pain Medicine primary | 208VP0014X | — |
| Physical Therapist | 225100000X | — |
| Clinical Medical Laboratory | 291U00000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.