MT VERNON SPINE & REHAB (NPI# 1578074415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578074415 |
Entity Type | Organization |
Organization Name | MT VERNON SPINE & REHAB |
Practice Address |
836 Guilford Ave Baltimore MD 21202-3707 |
Practice Telephone | 4102440440 |
Practice Fax Number | 4108378665 |
Mailing Telephone | 4102440440 |
Mailing Fax Number | 4108378665 |
Enumeration Date | 2017-10-18 |
Last Update Date | 2017-10-18 |
Authorized Official Name | DR. REGINALD MARCUS ALLEN (PRESIDENT/DOCTOR) |
Authorized Official Telephone | 4102440440 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | S01983 | MD | Chiropractic Providers |
Street Address |
836 GUILFORD AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21202-3707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
Find all providers in zip 21202 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314090 | 360 Rehabilitation & Chiropractic LLC | Chiropractor | 2010 Clipper Park Rd Ste 117, Baltimore, MD 21211-1439 | 2020-07-24 |
1639798259 | Atlantic Reliable Care, LLC | Chiropractor | 2401 Liberty Heights Ave Ste 1020, Baltimore, MD 21215-8019 | 2020-04-14 |
1528608379 | Baltimore Integrative Health LLC | Chiropractor | 1800 N Charles St Ste 810, Baltimore, MD 21201-5987 | 2020-01-09 |
1326609827 | Mandip Kaur | Chiropractor | 2001 Eastern Ave Ste 1, Baltimore, MD 21231-3061 | 2019-06-25 |
1710458658 | Mid-atlantic Spinal Rehab & Chiropractic | Chiropractor | 6810 Park Heights Ave Ste C4, Baltimore, MD 21215-1662 | 2018-12-17 |
1003381377 | Andrea Lynnette Samuels | Chiropractor | 5411 Old Frederick Rd Ste 2, Baltimore, MD 21229-2126 | 2018-10-12 |
1275028706 | Gabriel A Martinez Md Pa | Chiropractor | 9106 Philadelphia Rd Ste 306, Baltimore, MD 21237-4343 | 2018-06-27 |
1366931214 | Randy Hallman, P.C. | Chiropractor | 2700 Fait Ave, Baltimore, MD 21224-3834 | 2018-05-07 |
1750895967 | Kashi Chesapeake Chiropractic and Spinal Rehab, PC | Chiropractor | 1103 N Point Blvd Ste 404, Baltimore, MD 21224-3486 | 2017-11-27 |
1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
Find all providers in BALTIMORE |
Please comment or provide details below to improve the information on MT VERNON SPINE & REHAB.
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.