GONZAGA INTERVENTIONAL PAIN MANAGEMENT
NPI 1073608253
Pain Medicine - Pain Medicine in Lavale, MD

Active since October 04, 2006
957 NATIONAL HWY, LAVALE, MD 21502(240) 362-7128(240) 362-7129 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2018, Oct 14, 2016 (2 updates tracked since 2016).

About Gonzaga Interventional Pain Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GONZAGA INTERVENTIONAL PAIN MANAGEMENT (NPI 1073608253) is a healthcare organization registered as a pain medicine in Lavale, Maryland and active in the NPI registry since October 2006. The organization lists Melvin R Gonzaga, Owner, as its authorized official.

NPPES Registry Identity

NPI1073608253
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameGARRETT ANESTHESIA AND PAIN MANAGEMENT
Location Address957 NATIONAL HWYLavale, MD 21502
Mailing Address957 National HwyLavale, MD 21502-7356 · (240) 362-7128 · Fax (240) 362-7129
Fax(240) 362-7129
Organization SubpartNo
Authorized OfficialMelvin R GonzagaOwner · (240) 362-7128
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 4, 20182 updates tracked since enumeration
NPI 1073608253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in MD · D222148
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
957 NATIONAL HWY, Lavale, MD 21502

Other Names 1

Doing Business AsGonzaga Interventional Pain Management

Other Identifiers 1

Medicaid961521100MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D2109053

Garrett Anesthesia And Pain Management, PA · Lavale, MD
Expired · Jul 6, 2026
CLIA Number21D2109053
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2024
Certificate Expiration DateJuly 6, 2026
Laboratory DirectorGeorge L. Ryals
Laboratory Phone(301) 335-6445
Laboratory LocationGarrett Anesthesia And Pain Management, PA957 National Highway, Suite 4, Lavale, MD 21502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Pain Medicine)
957 NATIONAL HWY
LAVALE, MD 21502
Nutritionist (Nutrition, Education)
957 NATIONAL HWY
LAVALE, MD 21502
Nurse Practitioner (Family)
957 NATIONAL HWY
LAVALE, MD 21502
Nurse Practitioner (Family)
957 NATIONAL HWY
LAVALE, MD 21502
Pediatrics
957 NATIONAL HWY
LAVALE, MD 21502
Speech-Language Pathologist
957 NATIONAL HWY
LAVALE, MD 21502
Pediatrics
957 NATIONAL HWY
LAVALE, MD 21502
Social Worker (Clinical)
957 NATIONAL HWY
LAVALE, MD 21502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garrett Anesthesia And Pain Management's NPI number?

The NPI number for Garrett Anesthesia And Pain Management is 1073608253. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Gonzaga Interventional Pain Management.

Where is Garrett Anesthesia And Pain Management located?

Garrett Anesthesia And Pain Management is located at 957 National Hwy, Lavale, MD 21502. The listed phone number is (240) 362-7128.

What is Garrett Anesthesia And Pain Management's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

When was this NPI record last updated?

The NPPES record for Garrett Anesthesia And Pain Management was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.