# 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629743034
- **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:** 831 UNIVERSITY BLVD E STE 34, SILVER SPRING, MD 20903-2915
- **Practice address phone:** (301) 408-2720
- **Practice address fax:** (301) 408-2725
- **Mailing address:** 831 UNIVERSITY BLVD E STE 34, SILVER SPRING, MD 20903-2915
- **Mailing address phone:** (301) 408-2720
- **Mailing address fax:** (301) 408-4503

## 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 | — | — | — |
| 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 | — | NULL | Yes |
| 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