SUMMIT PAIN MANAGEMENT GROUP,INC
NPI 1124302690
Anesthesiology - Pain Medicine in Havre De Grace, MD

Active since October 03, 2011
603 REVOLUTION ST, HAVRE DE GRACE, MD 21078(410) 942-1015(410) 942-1016 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Pain Management Group,inc NPPES

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

SUMMIT PAIN MANAGEMENT GROUP,INC (NPI 1124302690) is a healthcare organization registered as a pain medicine in Havre De Grace, Maryland and active in the NPI registry since October 2011. The organization lists Olakunle Taiwo, President And C.e.o., as its authorized official.

NPPES Registry Identity

NPI1124302690
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSUMMIT PAIN MANAGEMENT GROUP,INC
Location Address603 REVOLUTION STHavre De Grace, MD 21078-3319
Mailing Address8056 Ians AlyLaurel, MD 20724-6133 · (301) 996-9354
Fax(410) 942-1016
Organization SubpartNo
Authorized OfficialOlakunle TaiwoPresident And C.e.o. · (301) 996-9354
Enumeration DateOctober 3, 2011
NPI 1124302690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in MD · D0050806
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedCase ManagementTaxonomy 251B00000X · License D0050806 (MD)
Also ListedClinic/CenterTaxonomy 261Q00000X · License D0050806 (MD)
603 REVOLUTION ST, Havre De Grace, MD 21078

Other Identifiers 4

Medicare UPING86842PA
Medicaid0017816740003PA
Medicare PIN05623PA
Medicare PIN056023

Other Providers at the Same Location NPPES

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

Specialist
603 REVOLUTION ST
HAVRE DE GRACE, MD 21078

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 Summit Pain Management Group,inc's NPI number?

The NPI number for Summit Pain Management Group,inc is 1124302690. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is Summit Pain Management Group,inc located?

Summit Pain Management Group,inc is located at 603 Revolution St, Havre De Grace, MD 21078. The listed phone number is (410) 942-1015.

What is Summit Pain Management Group,inc's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Summit Pain Management Group,inc was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.