CHARLES D. CRUICKSHANK, D.C., P.A. (NPI# 1013160456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013160456 |
| Entity Type | Organization |
| Organization Name | CHARLES D. CRUICKSHANK, D.C., P.A. |
| Other Organization Name | BALTIMORE FAMILY CHIROPRACTIC |
| Practice Address |
8615 Ridgelys Choice Dr 104 Baltimore MD 21236-3026 |
| Practice Telephone | 4105293913 |
| Practice Fax Number | 4105293916 |
| Mailing Telephone | 4105293913 |
| Mailing Fax Number | 4105293916 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Authorized Official Name | CHARLES DAVID CRUICKSHANK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4105293913 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | S01776 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BLUECROSS BLUESHIELD | M563 | 01 |
| MD | GHMSI | W3720001 | 01 |
| MD | MEDICARE | 691Q | 01 |
| Other Name | Type Code |
|---|---|
| Baltimore Family Chiropractic | Doing Business As Name - Organization |
| Street Address |
8615 RIDGELYS CHOICE DR 104 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672584 | Anne Veshecco Majerik | Social Worker | 8615 Ridgelys Choice Dr, Baltimore, MD 21236-3026 | 2005-10-06 |
| 1639552391 | Kathy Cooney | Counselor | 8615 Ridgelys Choice Dr, Suite 212, Baltimore, MD 21236-3026 | 2015-06-30 |
| 1972725323 | Paula A Scheye | Counselor | 8615 Ridgelys Choice Dr, Suite 212, Baltimore, MD 21236-3026 | 2007-05-03 |
| 1164586319 | Martha L Miller | Social Worker | 8615 Ridgelys Choice Dr, Suite 212, Baltimore, MD 21236 | 2006-12-21 |
| 1235292152 | Lois Ellen Sheeler | Social Worker | 8615 Ridgelys Choice Dr, Suite 212 Renewal Counseling Center, Baltimore, MD 21236 | 2006-12-19 |
| 1376602920 | Gwen Bauer Trader | Social Worker | 8615 Ridgelys Choice Dr, Ste 212 Renewal Counseling Center, Baltimore, MD 21236 | 2006-12-08 |
| 1700954625 | Kerrie Elizabeth Wille | Social Worker | 8615 Ridgelys Choice Dr, Ste 212 Renewal Counseling Center, Baltimore, MD 21236 | 2006-11-30 |
| 1083706337 | Joi Adria Johnson-weaver | Family Medicine | 8615 Ridgelys Choice Dr, Suite 105, Baltimore, MD 21236-3026 | 2006-09-28 |
| 1992735328 | Barbara R. Roth | Social Worker | 8615 Ridgelys Choice Dr, Suite 105, Baltimore, MD 21236-3026 | 2006-07-03 |
| 1881659431 | Glenn Serasky Price | Anesthesiology | 8615 Ridgelys Choice Dr, Suite 104, Baltimore, MD 21236-3026 | 2006-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1891357919 | Family Orthodontics of Maryland LLC | Clinic/Center | 2 Hamill Rd Ste 215, Baltimore, MD 21210-1886 | 2019-06-29 |
| 1366008179 | Baltimore Acupuncture LLC | Clinic/Center | 1501 Sulgrave Ave Ste 310, Baltimore, MD 21209-3654 | 2019-05-16 |
| 1053875815 | Anova Infusion | Clinic/Center | 111 S Calvert St Ste 2700, Baltimore, MD 21202-6143 | 2019-01-25 |
| 1891262135 | Emerge Baltimore Inc. | Clinic/Center | 1803 Pennsylvania Ave, Baltimore, MD 21217-3235 | 2018-10-24 |
| 1992271902 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 | 2018-10-17 |
| 1831671684 | Farrell & Associates | Clinic/Center | 4201 Harcourt Rd, Baltimore, MD 21214-3409 | 2018-08-29 |
| 1023502838 | Pikesville Pediatrics, LLC | Clinic/Center | 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 | 2018-06-15 |
| 1740798412 | Victory Medical Center | Clinic/Center | 1101 N Point Blvd Ste 110, Baltimore, MD 21224-3417 | 2018-01-17 |
| 1730612235 | Concerted Care Group Brooklyn | Clinic/Center | 112 E Patapsco Ave, Baltimore, MD 21225-1745 | 2017-04-11 |
| 1659538437 | Powell Recovery Institute | Clinic/Center | 16 S Broadway, Baltimore, MD 21231-1712 | 2008-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.