Maryland Interventional Pain Management, LLC
NPI 1053670430ActiveOrganization· General Practice· Baltimore, MD
General Practice in Baltimore, Maryland, registered in NPPES in May 2012, part of Maryland Interventional Pain Management, LLC. The authorized official on file is Timothy J. Gober, DC, President.
Overview
| NPI | 1053670430 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Maryland Interventional Pain Management, LLC |
| NPI issued | May 7, 2012 |
| Last updated in NPPES | May 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 60828 | MD |
| Chiropractor | 111N00000X | 3470 | MD |
| Physician Assistant | 363A00000X | 3825 | MD |
| Physician Assistant | 363A00000X | 3868 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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