Maryland Interventional Pain Management, LLC
NPI 1568749125ActiveOrganization· General Practice· White Marsh, MD
General Practice in White Marsh, Maryland, registered in NPPES in November 2011. The authorized official on file is Timothy J. Gober, DC, Owner.
Overview
| NPI | 1568749125 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2011 |
| Last updated in NPPES | Apr 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 60828 | MD |
| Chiropractor | 111N00000X | 3470 | MD |
| Internal Medicine | 207R00000X | 73023 | MD |
| General Practice | 208D00000X | 20215 | MD |
| Physician Assistant | 363A00000X | 3824 | 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 |
|---|
Other General Practice providers in White Marsh
- 1104168590