# 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 1ST MEDICAL OF ANNAPOLIS, INC.
- **Other names:** 1st Medical Painrehab Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205501608
- **Legal business name:** 1ST MEDICAL OF ANNAPOLIS, INC.
- **Authorized official:** ROSEMARY INGADO PHYSICIAN ASSISTANT (CLINICAL ADMINISTRATOR)
- **Authorized official phone:** (410) 956-6800

## Contact information

- **Practice address:** 5620 SAINT BARNABAS RD STE 340, OXON HILL, MD 20745-3628
- **Practice address phone:** (301) 747-4224
- **Practice address fax:** (410) 956-6803
- **Mailing address:** 20 MAYO RD STE 201, EDGEWATER, MD 21037-1442
- **Mailing address phone:** (410) 956-6800
- **Mailing address fax:** (410) 956-6803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/09/2021
- **Last updated:** 01/23/2022