ADVANTIA HEALTH SPINE-SPORTS & PAIN CENTER OF MARYLAND LLC
NPI 1629447453
Anesthesiology - Pain Medicine in Beltsville, MD

Q: What is Advantia Health Spine-Sports & Pain Center Of Maryland LLC's specialty?

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

Active since September 22, 2015

12240 INDIAN CREEK CT, SUITE 130A, BELTSVILLE, MD 20705(571) 327-1334(240) 264-8436 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017, Nov 9, 2015 (3 updates tracked since 2015).

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About Advantia Health Spine-sports & Pain Center Of Maryland Llc NPPES

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

ADVANTIA HEALTH SPINE-SPORTS & PAIN CENTER OF MARYLAND LLC (NPI 1629447453) is a healthcare organization registered as a pain medicine in Beltsville, Maryland and active in the NPI registry since September 2015. The organization lists Peter Glass, Cmo, as its authorized official.

NPPES Registry Identity

NPI1629447453

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameADVANTIA HEALTH SPINE-SPORTS & PAIN CENTER OF MARYLAND LLC

Location Address12240 INDIAN CREEK CT, SUITE 130ABeltsville, MD 20705-1242

Mailing Address1400 Forest Glen Rd Ste 500Silver Spring, MD 20910-1467 · (301) 453-5970

Phone(571) 327-1334

Fax(240) 264-8436

Organization SubpartYesParent: Advantia Holdings Of Maryland Llc

Authorized OfficialPeter GlassCmo · (301) 453-5970

Enumeration DateSeptember 22, 2015

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1629447453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

12240 INDIAN CREEK CT, Beltsville, MD 20705

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ADVANTAGE ANESTHESIA OF MARYLAND LLC

Anesthesiology

12240 INDIAN CREEK CT, SUITE 130
BELTSVILLE, MD 20705

Prince George's County (240) 560-5089

JENNIFER VARGAS

Behavior Technician