GONZAGA COMPREHENSIVE REHABILITATION
NPI 1104276211
Pain Medicine - Pain Medicine in Lavale, MD
NPI Status: Active since June 20, 2016
Contact Information
957 NATIONAL HWY
LAVALE, MD
ZIP 21502
Phone: (240) 362-7718
Fax: (240) 362-7731
- Organization
- Pain Medicine
- Pain Medicine
- CLIA Number: 21D2109053
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-06-2026
About GONZAGA COMPREHENSIVE REHABILITATION
This page provides the complete NPI Profile along with additional information for Gonzaga Comprehensive Rehabilitation, a provider established in Lavale, Maryland operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1104276211 assigned on June 2016. The practitioner's primary taxonomy code is 208VP0000X with license number D0022148 (MD). The provider is registered as an organization and their NPI record was last updated 10 years ago. Gonzaga Comprehensive Rehabilitation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Gonzaga Comprehensive Rehabilitation. The authorized official of this NPI record is Dr. Melvin Gonzaga Md (Owner)
- NPI
- 1104276211
- Provider Legal Name
- GARRETT ANESTHESIA AND PAIN MANAGEMENT
- Other Organization Name
- GONZAGA COMPREHENSIVE REHABILITATION
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 957 NATIONAL HWY LAVALE, MD 21502
- Location Phone
- (240) 362-7718
- Location Fax
- (240) 362-7731
- Mailing Address
- 957 NATIONAL HWY LAVALE, MD 21502
- Mailing Phone
- (240) 362-7128
- Mailing Fax
- (240) 362-7731
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-20-2016
- Last Update Date
- 12-16-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Pain Medicine
- Taxonomy Code
- 208VP0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0022148
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 24488 (MD) |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 07532 (WV) |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 07755 (MD) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2109053
- Facility Type
- Physician Office
- Certificate Effective Date
- July 07, 2024
- Certificate Expiration Date
- July 06, 2026
- Laboratory Director
- GEORGE L. RYALS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Gonzaga Comprehensive Rehabilitation after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104276211, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
LAVALE, MD 21502
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104276211, enumerated as an "organization" on June 20, 2016.
The provider is located at 957 NATIONAL HWY LAVALE, MD 21502 and the phone number is (240) 362-7718.
Pain Medicine with taxonomy code 208VP0000X.
