SHALOM EASTERN MEDICINE,INC (NPI# 1366052664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366052664 |
| Entity Type | Organization |
| Organization Name | SHALOM EASTERN MEDICINE,INC |
| Practice Address |
3344 Saint Johns Ln Ellicott City MD 21042-2601 |
| Practice Telephone | 3018141211 |
| Practice Fax Number | 2407204900 |
| Mailing Telephone | 3018141211 |
| Mailing Fax Number | 2407204900 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | SOON S. PARK (OWNER) |
| Authorized Official Telephone | 3018141211 |
| Authorized Official Credential | OMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Shalom Acupuncture & Wellness | Doing Business As Name - Organization |
| Street Address |
3344 SAINT JOHNS LN |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623725 | Soon Sik Park | Acupuncturist | 3344 Saint Johns Ln, Ellicott City, MD 21042-2601 | 2019-01-20 |
| 1013181064 | Cecilia Y Chyu | Registered Nurse | 3344 Saint Johns Ln, Ellicott City, MD 21042-2601 | 2008-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399356 | Young Joo Kim | Acupuncturist | 3237 Corporate Ct, Ellicott City, MD 21042-2247 | 2019-11-04 |
| 1386287076 | Joni Reiss | Acupuncturist | 8344 Main St, Ellicott City, MD 21043-4653 | 2019-10-24 |
| 1538715131 | Balance Acupuncture & Wellness Center LLC | Acupuncturist | 3454 Ellicott Center Dr Ste 104, Ellicott City, MD 21043-4130 | 2019-08-11 |
| 1437623725 | Soon Sik Park | Acupuncturist | 3344 Saint Johns Ln, Ellicott City, MD 21042-2601 | 2019-01-20 |
| 1609340553 | Chengri Xu | Acupuncturist | 3237a Corporate Ct Fl 2, Ellicott City, MD 21042-2247 | 2019-01-14 |
| 1235602681 | Ran Zhang | Acupuncturist | 10268 Baltimore National Pike, Ellicott City, MD 21042-3609 | 2019-01-08 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1013424829 | Calling Acupuncture Clinic Inc. | Acupuncturist | 3240 Corporate Ct Ste D, Ellicott City, MD 21042-2273 | 2018-01-02 |
| 1780198945 | East Point Md LLC | Acupuncturist | 3213a Corporate Ct, Ellicott City, MD 21042-2247 | 2017-11-27 |
| 1356854301 | Jinfang Ma | Acupuncturist | 10569 Old Ellicott Cir, Ellicott City, MD 21042-2277 | 2017-11-13 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on SHALOM EASTERN MEDICINE,INC.
| 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.