Provider Demographics
NPI:1659249548
Name:ADVANCED SPINE AND PAIN CENTERS, PLLC
Entity type:Organization
Organization Name:ADVANCED SPINE AND PAIN CENTERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:AURA
Authorized Official - Middle Name:
Authorized Official - Last Name:IONITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-522-2727
Mailing Address - Street 1:217 E CHURCHVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3825
Mailing Address - Country:US
Mailing Address - Phone:703-522-2727
Mailing Address - Fax:703-542-3753
Practice Address - Street 1:550 GOVERNOR RITCHIE HWY STE K
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2953
Practice Address - Country:US
Practice Address - Phone:703-522-2727
Practice Address - Fax:703-542-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty