Active NPI
Elliott Poehlman, DC
- Chiropractor
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03986
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Heights Integrative Health, LLC | Current | Accepting new patients | |
| Wheaton Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Whole Body Healthcare, LLC | Current | 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.