CENTER FOR PAIN MANAGEMENT LLC
NPI 1528535127
Non-Pharmacy Dispensing Site in Frederick, MD

Active since November 01, 2018CLIA 21D1085908 · Waiver
75 THOMAS JOHNSON DRIVE, SUITE C, FREDERICK, MD 21702(301) 620-0012(301) 620-9687 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2025, Sep 16, 2025, Aug 5, 2025 and 2 more (5 updates tracked since 2018).

  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 21D1085908
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-22-2028

About CENTER FOR PAIN MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Center For Pain Management Llc, a provider established in Frederick, Maryland operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1528535127 assigned on November 2018. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Shaneka Tinch (Rcm Manager)

NPI
1528535127 Verify this NPI
Provider Name
CENTER FOR PAIN MANAGEMENT LLC
Entity Type
Organization
Location Address
75 THOMAS JOHNSON DRIVE SUITE C FREDERICK, MD 21702
Location Phone
(301) 620-0012
Location Fax
(301) 620-9687
Mailing Address
4960 SW 72ND AVE STE 405 MIAMI, FL 33155
Mailing Phone
(469) 458-9222
Mailing Fax
(540) 918-7202
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-01-2018
Last Update Date
12-08-2025
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANEKA TINCH

Authorized Official Title
RCM MANAGER
Authorized Official Phone
(469) 458-9222

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
21D1085908
Facility Type
Physician Office
Certificate Effective Date
June 23, 2026
Certificate Expiration Date
June 22, 2028
Laboratory Director
ANISH S. PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Center For Pain Management Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CENTER FOR PAIN MANAGEMENT LLC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
75 THOMAS JOHNSON DRIVE, SUITE L
FREDERICK, MD 21702
Obstetrics & Gynecology
75 THOMAS JOHNSON DRIVE, SUITE J
FREDERICK, MD 21702
Physical Therapist
75 THOMAS JOHNSON DRIVE, SUITE L
FREDERICK, MD 21702
Obstetrics & Gynecology
75 THOMAS JOHNSON DRIVE, SUITE J
FREDERICK, MD 21702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528535127, enumerated as an "organization" on November 01, 2018.

The provider is located at 75 THOMAS JOHNSON DRIVE SUITE C FREDERICK, MD 21702 and the phone number is (301) 620-0012.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.