MR. TERRY MICHAEL ELAN


Address: 301 Reisterstown Road, Baltimore, MD 21208-5313
Phone: 4104864796

MR. TERRY MICHAEL ELAN (NPI# 1902989643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902989643
Entity Type Individual
Full Name MR. TERRY MICHAEL ELAN
Credential CP
Practice Address 301 Reisterstown Road
Baltimore
MD 21208-5313
Practice Telephone 4104864796
Practice Fax Number 4104869749
Mailing Telephone 4104864796
Mailing Fax Number 4104869749
Enumeration Date 2006-10-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist CP2000 Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CERTIFIED PROSTHETIST 2000 01
DC 0252641 05

Office Location

Street Address 301 REISTERSTOWN ROAD
City BALTIMORE
State MD
Zip Code 21208-5313

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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1619597408 Tationia Bowen Prosthetist 3016 Westfield Ave, Baltimore, MD 21214-1433 2020-04-21

Providers in the same taxonomy and state

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1548823222 Roger Hamilton Prosthetist 10903 Indian Head Hwy Ste 312, Fort Washington, MD 20744-4005 2019-04-17
1154898732 Niokie Laws Prosthetist 216 Crain Hwy N Ste 202a, Glen Burnie, MD 21061-3085 2018-11-01
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1841706173 Afa Orthotics and Prosthetics LLC Prosthetist 2086 Generals Hwy Ste 305, Annapolis, MD 21401-6759 2017-12-22
1548701402 Todd John Sleeman Prosthetist 10515 Calumet Dr, Silver Spring, MD 20901-4607 2017-03-13
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1962742007 John Beeler Prosthetist 13623 Alliston Dr, Baldwin, MD 21013 2013-02-27
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Competitor

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City BALTIMORE
Zip Code 21208

Improve Information

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Dataset Information

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.

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