BALTIMORE PAIN RELIEF CENTER
NPI 1053670430
General Practice in Baltimore, MD

NPI Status: Active since May 07, 2012

Contact Information

1147 S HANOVER ST
BALTIMORE, MD
ZIP 21230
Phone: (443) 725-4930
Fax: (443) 725-4933

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  • Organization
  • General Practice

About BALTIMORE PAIN RELIEF CENTER

This page provides the complete NPI Profile along with additional information for Baltimore Pain Relief Center, a primary care provider established in Baltimore, Maryland operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1053670430 assigned on May 2012. The practitioner's primary taxonomy code is 208D00000X with license number 60828 (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. Baltimore Pain Relief Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Baltimore Pain Relief Center. The authorized official of this NPI record is Mr. Timothy J Gober Dc (President)

NPI
1053670430
Provider Legal Name
MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC
Other Organization Name
BALTIMORE PAIN RELIEF CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1147 S HANOVER ST BALTIMORE, MD 21230
Location Phone
(443) 725-4930
Location Fax
(443) 725-4933
Mailing Address
5430 CAMPBELL BLVD SUITE 106 WHITE MARSH, MD 21162
Mailing Phone
(443) 725-4930
Mailing Fax
(443) 725-4933
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-07-2012
Last Update Date
05-07-2012
Code Navigator

A primary care provider (PCP) like Baltimore Pain Relief Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
60828
License State
MD
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111N00000XChiropractic Providers

Chiropractor

3470 (MD)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

3825 (MD)
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

3868 (MD)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. TIMOTHY J GOBER DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(443) 725-4930

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053670430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103127046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 7 + 0 + 4 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1053670430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114930211DR. MARC STEPHEN POSNER M.D.
Individual
Family Medicine1147 S HANOVER ST
BALTIMORE, MD 21230
(410) 752-5425
1013070457UNITED RADIOLOGY SERVICES, LLC
Organization
Radiology (Diagnostic Radiology)1147 S HANOVER ST
BALTIMORE, MD 21230
(410) 752-2777
1578629838MRS. LESLIE ANN EBERT LCSWC
Individual
Social Worker (Clinical)1147 S HANOVER ST
BALTIMORE, MD 21230
(410) 719-9700
1861723926KHM HEALTHCARE CORPORATION
Organization
Clinic/Center (Radiology)1147 S HANOVER ST
BALTIMORE, MD 21230
(877) 564-5227
1194124131DOWNTOWN BALTIMORE URGENT CARE
Organization
Clinic/Center (Urgent Care)1147 S HANOVER ST
BALTIMORE, MD 21230
(410) 752-5425
1821001942MARC S POSNER MD PA
Organization
Clinic/Center (Medical Specialty)1147 S HANOVER ST
BALTIMORE, MD 21230
(410) 752-5425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053670430, enumerated in the NPI registry as an "organization" on May 07, 2012

The provider is located at 1147 S Hanover St Baltimore, Md 21230 and the phone number is (443) 725-4930

This medical organization specializes in General Practice with taxonomy code 208D00000X

This NPI record was last updated on May 07, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.