MARYLAND PAIN & REGENERATIVE CENTER, LLC
NPI 1104467463
Pain Medicine - Interventional Pain Medicine in Waldorf, MD
NPI Status: Active since October 07, 2019
Contact Information
3500 OLD WASHINGTON RD STE 202
WALDORF, MD
ZIP 20602
Phone: (301) 659-0003
- Organization
- Pain Medicine
- Interventional Pain Medicine
About MARYLAND PAIN & REGENERATIVE CENTER, LLC
This page provides the complete NPI Profile along with additional information for Maryland Pain & Regenerative Center, Llc, a provider established in Waldorf, Maryland operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1104467463 assigned on October 2019. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated May 2026. Maryland Pain & Regenerative Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1104467463
- Provider Legal Name
- MARYLAND PAIN & REGENERATIVE CENTER, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3500 OLD WASHINGTON RD STE 202 WALDORF, MD 20602
- Location Phone
- (301) 659-0003
- Mailing Address
- 2296 OPITZ BLVD STE 110 - 120 WOODBRIDGE, VA 22191
- Mailing Phone
- (301) 829-7693
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2019
- Last Update Date
- 05-01-2026
- Code Navigator
Location Map
Secondary Locations
- 6128 Brandon Ave Ste 208210
Springfield, VA 22150
(301) 659-0003 - 2296 Opitz Blvd Ste 110120
Woodbridge, VA 22191
(301) 829-7693
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 Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 6 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 7 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 8 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
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.
Reviews for MARYLAND PAIN & REGENERATIVE CENTER, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1104467463, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104467463, enumerated as an "organization" on October 07, 2019.
The provider is located at 3500 OLD WASHINGTON RD STE 202 WALDORF, MD 20602 and the phone number is (301) 659-0003.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
