DR. MARC A MIZZER (NPI# 1740353440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740353440 |
| Entity Type | Individual |
| Full Name | DR. MARC A MIZZER |
| Credential | D.C. |
| Practice Address |
9420 Key West Ave Ste 30 Rockville MD 20850 |
| Mailing Address |
9420 Key West Ave Ste 302 Rockville MD 20850-6212 |
| Practice Telephone | 3017623200 |
| Practice Fax Number | 3017623200 |
| Mailing Telephone | 3017623200 |
| Mailing Fax Number | 3017623200 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S03444 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS MARYLAND | 887415-01 | 01 |
| MD | BCBS DC | F015-0005 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8600 Snowden River Pkwy Ste 101, Columbia, MD 21045 | 4107205555 | 4103814653 |
| Street Address |
9420 KEY WEST AVE STE 30 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| 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 |
|---|---|---|---|---|
| 1477153427 | Rxwellness Spine & Health - Rockville LLC | Chiropractor | 15001 Shady Grove Rd Ste 140, Rockville, MD 20850-6354 | 2020-10-29 |
| 1932710597 | Hbc Chiropractic, P. C. | Chiropractor | 11921 Rockville Pike Ste 411, Rockville, MD 20852-2757 | 2020-08-16 |
| 1538792148 | Eaman Physical Therapy, LLC | Chiropractor | 15215 Shady Grove Rd Ste 202, Rockville, MD 20850-6207 | 2020-02-21 |
| 1639642226 | Dillon D Balkin | Chiropractor | 110 N Washington St Ste 207, Rockville, MD 20850-2225 | 2019-01-07 |
| 1760986780 | Georgetown Chiropractic and Rehabilitation | Chiropractor | 40 W Gude Dr Ste 240, Rockville, MD 20850-1152 | 2018-03-23 |
| 1689181539 | Roson Bhupen Ray | Chiropractor | 451 Hungerford Dr Ste 510, Rockville, MD 20850-5103 | 2018-01-01 |
| 1376907527 | Dale Samuel Ward | Chiropractor | 4400 Chestnut Ln, Rockville, MD 20853-1401 | 2016-04-13 |
| 1447624192 | Injury Care Centers Inc | Chiropractor | 9600 Traville Gateway Drive Suite 104, Rockville, MD 20850 | 2015-11-18 |
| 1740656669 | Michael Kebede | Chiropractor | 11125 Rockville Pike Ste 107, Rockville, MD 20852-3142 | 2015-08-14 |
| 1568851301 | Gyc LLC | Chiropractor | 70 Upper Rock Cir, Unit W101, Rockville, MD 20850-4239 | 2015-01-16 |
| Find all providers in ROCKVILLE | ||||
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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.