MEDICARE: METROPOLITAN PAIN PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1578282471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN PAIN PA

Provider Business Mailing Address
First Line	:	9501 OLD ANNAPOLIS RD STE 305
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6337
Country	:	US
Telephone Number	:	301-490-6698
Fax Number	:

Provider Business Practice Location Address
First Line	:	9501 OLD ANNAPOLIS RD STE 305
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6337
Country	:	US
Telephone Number	:	301-490-6698
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEVI PEARSON
Credential	:	MD
Telephone Number	:	443-367-0011

Provider Enumeration Date	:	08/24/2022
Last Update Date	:	08/24/2022

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Directions to “METROPOLITAN PAIN PA ” Practice Location

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