Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Active
Organization
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Active
Parent organization
1ST MEDICAL OF ANNAPOLIS, INC.
Other names
1st Medical Painrehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST MEDICAL OF ANNAPOLIS, INC.
Authorized official
ROSEMARY INGADO PHYSICIAN ASSISTANT (CLINICAL ADMINISTRATOR)
(410) 956-6800
Entity
Organization
Contact information
Practice address
831 UNIVERSITY BLVD E STE 34, SILVER SPRING, MD 20903-2915
(301) 408-2720
(301) 408-2725
Mailing address
831 UNIVERSITY BLVD E STE 34, SILVER SPRING, MD 20903-2915
(301) 408-2720
(301) 408-4503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
225C00000X
Rehabilitation Counselor
—
NULL
225C00000X
Rehabilitation Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers