OrganizationActive
Interventional Pain and Spine Care, LLC
NPI 1053934174 · Pain Medicine (Anesthesiology) Physician · Ijamsville, MD
Provider details
- NPI number
- 1053934174
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Juliet Gyebi-Foster, Owner(301) 874-3431
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3280 Urbana Pike Ste 207
Ijamsville, MD 21754-9406
Phone: (508) 344-7263
Approximate (ZIP-level) locationGet directions
Mailing address
3280 Urbana Pike Ste 207
Ijamsville, MD 21754-9406
Registry dates
- Enumerated
- 2020-05-22
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.