# ADVANCED PAIN MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598582801
- **Authorized official:** JOANA GOMES (CREDENTIALING MANAGER)
- **Authorized official phone:** (240) 629-3982

## Contact information

- **Practice address:** 11637 TERRACE DR STE 101, WALDORF, MD 20602-3707
- **Practice address phone:** (240) 629-3952
- **Mailing address:** 5205 CHAIRMANS CT STE 201A, FREDERICK, MD 21703-2918
- **Mailing address phone:** (240) 629-3939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/26/2024
- **Last updated:** 02/20/2026