NPI 1407379753 · live from the CMS NPI Registry
Advanced Pain Management Specialists, LLC
Pain Medicine, Interventional Pain Medicine in Waldorf, MD. National Provider Identifier 1407379753, active.
NPI record
| NPI | 1407379753 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 3261 Old Washington Rd Ste 3010a, Waldorf, MD 20602 |
| Practice phone | 855-527-7246 |
| Mailing address | 201 Defense Hwy Ste 205, Annapolis, MD 21401 |
| Enumerated | July 19, 2017 |
| Last updated | August 29, 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 | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — |
| 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.