Individual provider Active NPI

Elliott Poehlman, DC

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1003388372
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03986 Issued in MD
Practice address
38 Bloomsbury Ave
Baltimore, MD 21228-4858
Phone
(410) 788-2225
Fax
(410) 788-0633
NPI assigned
Dec 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03986 MD Primary

Addresses

Primary practice location

38 Bloomsbury Ave
Baltimore, MD 21228-4858

Mailing address

38 Bloomsbury Ave
Catonsville, MD 21228-4858
Phone (410) 788-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190927000364 DC Practitioner - Chiropractic 6608106075 Reassigns benefits to 1 organization
I20230118002019 MD Practitioner - Chiropractic 6608106075 Reassigns benefits to 2 organizations
Practice locations: Catonsville, MD

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Heights Integrative Health LLC 2 clinicians

Practice addresses (Care Compare)

1001 Pine Heights Ave
Suite 304
Baltimore, MD 21229-5285
Phone (410) 878-2530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Heights Integrative Health, LLC CurrentSince Jan 22, 2025 Accepting new patients
Wheaton Chiropractic LLC Chiropractor CurrentSince Aug 6, 2019 Accepting new patients
Whole Body Healthcare, LLC CurrentSince May 17, 2024 Accepting new patients

Locations

1001 Pine Heights Ave
Ste 304
Baltimore, MD 21229
Phone (410) 646-0220

3914 Hickory Ave
Baltimore, MD 21211
Phone (410) 662-4476

9801 Georgia Ave
Ste 339
Wheaton, MD 20902
Phone (301) 962-3500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1003388372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLOOMSBURY AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284858",
            "telephone_number": "410-788-2225",
            "fax_number": "410-788-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BLOOMSBURY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284858",
            "telephone_number": "410-788-2225",
            "fax_number": "410-788-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEHLMAN",
        "first_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.