Organization · Type 2 NPI

1st Medical Pain Management Specialists

Multi-Specialty Clinic/Center · Oxon Hill, MD

NPI number 1205501608 Active

Practice location

5620 Saint Barnabas Rd Ste 340
Oxon Hill, MD 20745-3628

Call (301) 747-4224 Map

Fax (410) 956-6803

Mailing address

20 Mayo Rd Ste 201
Edgewater, MD 21037-1442

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker	1041C0700X	None listed
Obesity and Weight Management Nutrition Registered Dietitian	133VN1201X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Pain Clinic/Center	261QP3300X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Choice Pain and Rehabilitation CenterPain Medicine (Physical Medicine & Rehabilitation) Physician Oxon Hill, MD NPI 1427508878

Other multi-specialty clinic/center providers in Oxon Hill

See all in Oxon Hill →

NPI record

NPI: 1205501608
Entity type: Organization (Type 2)
Issued: Aug 9, 2021
Last updated: Jan 23, 2022
Status: Active
Subpart: Yes of 1st Medical of Annapolis, Inc.

Other names

1st Medical Painrehab Center · doing business as

Authorized official

Rosemary Ingado, PHYSICIAN ASSISTANT
Clinical Administrator
(410) 956-6800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205501608

1st Medical Pain Management Specialists's National Provider Identifier is 1205501608, issued on Aug 9, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Oxon Hill, MD. The record was last updated on Jan 23, 2022.