Mid Atlantic Pain Management, Llc

LBN: Mid Atlantic Pain Management, Llc
Mid Atlantic Pain Management, Llc is an health care organization with primary practice located at 3930 Pender Dr Suite 120, Fairfax VA 22030-0985. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Mid Atlantic Pain Management, Llc can be contacted via phone (301) 829-7693, or through Anderson, Lewie G via phone (301) 829-7683.

Contact Information

Primary practice address
3930 Pender Dr Suite 120 Fairfax VA 22030-0985
Phone: (301) 829-7693
Fax: (301) 829-7694
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Lewie G
Phone: (301) 829-7683

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1003283938
LBN Legal business name Mid Atlantic Pain Management, Llc
DBA Doing business as
Authorized official Anderson, Lewie G
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003283938 NPPES
Other 0352193 AETNA HMO
MEDICAID 1861818270 AETNA HMO
Other BE66 AETNA HMO
Other DV0457 AETNA HMO
Other 5395974 AETNA HMO
Other 618183700 AETNA HMO

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