MEDICARE: ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208100000X	Physical Medicine & Rehabilitation Physician
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
3	208VP0000X	Pain Medicine Physician
4	208VP0014X	Interventional Pain Medicine Physician
5	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1376355438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	201 DEFENSE HWY STE 205
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7096
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:	866-229-5063

Provider Business Practice Location Address
First Line	:	10720 COLUMBIA PIKE STE 200A
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4437
Country	:	US
Telephone Number	:	855-527-7246
Fax Number	:	866-229-5063

Authorized Official
Title or Position	:	CEO
Name	:	DAMEAN WILLIAM FREAS
Credential	:	DO
Telephone Number	:	410-571-2946

Provider Enumeration Date	:	01/24/2025
Last Update Date	:	01/24/2025

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