Active NPI
Total Image Care, Inc
- Prosthetic/Orthotic Supplier
- Baltimore, MD
National Provider Identifier
1003888322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- TOTAL IMAGE CARE, INC
- Practice address
- 9103 Franklin Square Dr
Suite 1700
Baltimore, MD 21237-3900 - Phone
- (443) 777-6302
- Fax
- (443) 777-6309
- NPI assigned
- Feb 2, 2006
- Last updated
- Apr 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward J Kelly III
- Title
- Ceo
- Phone
- (410) 560-0614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
9103 Franklin Square Dr
Suite 1700
Baltimore, MD 21237-3900
Mailing address
800 Army Rd
Towson, MD 21204-6701
Phone (410) 560-0614
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F807 | Other | DC | CAREFIRST BLUE CROSS BLUE SHIELD |
| 601000800 | Medicaid | MD | |
| MH24 | Other | MD | CAREFIRST BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
9103 Franklin Square Dr
Ste 1700
Rosedale, MD 21237
Phone (443) 777-6302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270166400000",
"number": "1003888322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ARMY RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046701",
"telephone_number": "410-560-0614",
"fax_number": "410-560-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9103 FRANKLIN SQUARE DR",
"address_2": "SUITE 1700",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373900",
"telephone_number": "443-777-6302",
"fax_number": "443-777-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL IMAGE CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2010-04-02",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-560-0614",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
"identifier": "F807",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "601000800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
"identifier": "MH24",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Total Health Care Inc.
- Total Health Care, Inc.
- Total Health Care, Inc. (Linden Health Center)
- Total Health Care, Inc.
- Total Image Care Inc (Image Recovery Centers)
- Total Image Care, Inc.
- Total Psych Cares
- Total Renal Care Inc (Harford Road Dialysis Center)
- Total Renal Care Inc (Downtown Dialysis Center)
- Total Renal Care Inc (Greenspring Dialysis Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.