ADVANCED SPINE AND PAIN CENTERS - NPI 1124764220 - Anesthesiology in Stafford, VA

Q: What is Advanced Spine And Pain Centers's NPI number?

The NPI number for Advanced Spine And Pain Centers is 1124764220. It was assigned to this organization in the NPPES registry on May 11, 2022.

Q: What is Advanced Spine And Pain Centers's specialty?

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

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About Advanced Spine And Pain Centers NPPES

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

ADVANCED SPINE AND PAIN CENTERS (NPI 1124764220) is a healthcare organization registered as a pain medicine in Stafford, Virginia and active in the NPI registry since May 2022. The organization holds a CLIA Certificate of Compliance certificate valid through March 31, 2027, maintains a secondary practice location in Baltimore, and lists Brian Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1124764220

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameADVANCED SPINE AND PAIN CENTERS

Location Address450 GARRISONVILLE RD STE 109Stafford, VA 22554-1615

Mailing Address217 E Churchville RdBel Air, MD 21014-3825

Phone(703) 522-2727

Fax(703) 542-3753

Organization SubpartNo

Authorized OfficialBrian LeeOwner · (240) 988-1227

Enumeration DateMay 11, 2022

NPPES CertifiedMay 11, 2022

✔ NPI 1124764220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

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 ListedAnesthesiologyTaxonomy 207L00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

450 GARRISONVILLE RD STE 109, Stafford, VA 22554

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Secondary Practice Location 1

Location 13500 Boston St Ste JBaltimore, MD 21224-5251 · Phone (703) 522-2727

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 21D2149623

Advanced Spine And Pain Centers PLLC · Halethorpe, MD

Active · expires Mar 31, 2027

CLIA Number21D2149623

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorEvan Holzburg

Laboratory Phone(703) 522-2727

Laboratory LocationAdvanced Spine And Pain Centers PLLC3720 Washington Boulevard Suite 100, Halethorpe, MD 21227

CLIA data matches this NPI record on: Name Phone

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 6

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

ADVANCED SPINE AND PAIN CENTERS

Anesthesiology (Pain Medicine)