1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Pain Medicine
  6. NPI Profile

BALTIMORE PAIN MANAGEMENT CENTER PA
NPI 1356389845
Pain Medicine - Interventional Pain Medicine in Baltimore, MD

Active since June 04, 2006CLIA 21D1026669 · Waiver
9106 PHILADELPHIA RD STE 108, BALTIMORE, MD 21237(410) 682-5040(410) 682-5044 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, May 6, 2024, Nov 14, 2023 and 5 more (8 updates tracked since 2020).

About Baltimore Pain Management Center Pa NPPES

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

BALTIMORE PAIN MANAGEMENT CENTER PA (NPI 1356389845) is a healthcare organization registered as an interventional pain medicine in Baltimore, Maryland and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Michael A. Gardyn, President, as its authorized official.

NPPES Registry Identity

NPI1356389845
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameBALTIMORE PAIN MANAGEMENT CENTER PA
Location Address9106 PHILADELPHIA RD STE 108Baltimore, MD 21237-4335
Mailing Address9106 Philadelphia Rd Ste 108Baltimore, MD 21237-4335 · (410) 682-5040 · Fax (410) 682-5044
Phone(410) 682-5040
Fax(410) 682-5044
Organization SubpartNo
Authorized OfficialMichael A. GardynPresident · (410) 499-0082
Enumeration DateJune 4, 2006
Last NPPES UpdateOctober 21, 20248 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1356389845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
9106 PHILADELPHIA RD STE 108, Baltimore, MD 21237
Open in Google Maps ↗

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 Waiver 21D1026669

Baltimore Pain Management Center PA · Baltimore, MD
Active · expires Jun 10, 2028
CLIA Number21D1026669
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Michael Gardyn
Laboratory Phone(410) 682-5040
Laboratory LocationBaltimore Pain Management Center PA9106 Philadelphia Road Ste 108, Baltimore, MD 21237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

ZION AMBULATORY CENTER LLC
Clinic/Center (Ambulatory Surgical)
9106 PHILADELPHIA RD STE 108
BALTIMORE, MD 21237
Baltimore County (410) 682-5040
MR. DORON BEN-DOV LAC
Acupuncturist
9106 PHILADELPHIA RD STE 108
ROSEDALE, MD 21237
Baltimore County (347) 403-3946
MISS MINETTE G. RILLORAZA CRNP
Nurse Practitioner (Psychiatric/Mental Health)
9106 PHILADELPHIA RD STE 108
ROSEDALE, MD 21237
Baltimore County (410) 682-5040
MRS. TZIPORA GOETZ FNP
Nurse Practitioner (Family)
9106 PHILADELPHIA RD STE 108
ROSEDALE, MD 21237
Baltimore County (410) 682-5040
MS. HONEY BROJAN CRNP
Nurse Practitioner (Family)
9106 PHILADELPHIA RD STE 108
ROSEDALE, MD 21237
Baltimore County (410) 682-5040
FILISSA M CASERTA C.R.N.P.
Nurse Practitioner
9106 PHILADELPHIA RD STE 108
ROSEDALE, MD 21237
Baltimore County (410) 682-5040

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 Baltimore Pain Management Center PA's NPI number?

The NPI number for Baltimore Pain Management Center PA is 1356389845. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Baltimore Pain Management Center PA located?

Baltimore Pain Management Center PA is located at 9106 Philadelphia Rd Ste 108, Baltimore, MD 21237. The listed phone number is (410) 682-5040.

What is Baltimore Pain Management Center PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Baltimore Pain Management Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1026669) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baltimore Pain Management Center PA was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.