MEDICARE: 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	225C00000X	Rehabilitation Counselor
3	251S00000X	Community/Behavioral Health Agency
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	261QM0850X	Adult Mental Health Clinic/Center
6	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
7	101YA0400X	Addiction (Substance Use Disorder) Counselor
8	101YM0800X	Mental Health Counselor
9	103TA0400X	Addiction (Substance Use Disorder) Psychologist
10	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
11	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1629743034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST MEDICAL PAIN MANAGEMENT SPECIALISTS

Provider Business Mailing Address
First Line	:	831 UNIVERSITY BLVD E STE 34
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2915
Country	:	US
Telephone Number	:	301-408-2720
Fax Number	:	301-408-4503

Provider Business Practice Location Address
First Line	:	831 UNIVERSITY BLVD E STE 34
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2915
Country	:	US
Telephone Number	:	301-408-2720
Fax Number	:	301-408-2725

Authorized Official
Title or Position	:	CLINICAL ADMINISTRATOR
Name	:	ROSEMARY INGADO
Credential	:	PHYSICIAN ASSISTANT
Telephone Number	:	410-956-6800

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	01/23/2022

Similar Medicare Providers

1508862095 — MS. ARLENE HERNANDEZ P.T.
Practice Location Address:

831 UNIVERSITY BLVD E , STE 34
SILVER SPRING, MD
20903-2915

Practice Phone: 301-839-1600
Practice Fax: 301-567-1207

1760542740 — DR. WILKINSON JESUDAS NINALA MD
Practice Location Address:

831 UNIVERSITY BLVD E STE 37
SILVER SPRING, MD
20903-2915

Practice Phone: 301-328-7155
Practice Fax: 301-328-7182

1003972027 — MS. GINA M. CARBONARO PA-C
Practice Location Address:

831 UNIVERSITY BLVD E STE 36A
SILVER SPRING, MD
20903-2915

Practice Phone: 301-408-2720
Practice Fax:

1699810143 — DR. PAUL SALVATORE TETRO D.C.
Practice Location Address:

831 UNIVERSITY BLVD E STE 35
SILVER SPRING, MD
20903-2915

Practice Phone: 301-445-6900
Practice Fax: 301-445-6592

1154551596 — WJWR PHYSICIANS ASSOCIATES INC
Practice Location Address:

831 UNIVERSITY BLVD E STE 37
SILVER SPRING, MD
20903-2915

Practice Phone: 301-328-7155
Practice Fax: 301-328-7182

1962963348 — COMPLETE HEALTH SERVICE INC.
Practice Location Address:

831 UNIVERSITY BLVD E STE 36A
SILVER SPRING, MD
20903-2915

Practice Phone: 301-408-2720
Practice Fax: 301-408-2725

Directions to “1ST MEDICAL PAIN MANAGEMENT SPECIALISTS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.