NPIMap

Organization Active NPI

Maryland Healthcare Clinics

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1043312036
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARYLAND HEALTHCARE CLINICS
Practice address
6615 Reisterstown Rd
First Floor
Baltimore, MD 21215-2686
Phone
(410) 486-2298
Fax
(410) 358-6551
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Roman Balakirsky
Title
Vice President of Operations
Phone
(410) 486-2298

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

6615 Reisterstown Rd
First Floor
Baltimore, MD 21215-2686

Mailing address

PO Box 30160
Baltimore, MD 21270-0160
Phone (410) 486-2298

Other identifiers 13

IdentifierTypeStateIssuer
1255417986OtherMDLIBERATI, DC, NPI
1477621571OtherMDPATTON, DC NPI
1477621571OtherMDNPI NUMBER
4138091 00MedicaidMD
106387044OtherWESTSIDE NPI NUMBER
1073642377OtherMDNPI NUMBER, DR. VO
1750467478OtherMDMCGEE PT NPI
1144304965OtherMDANDERSON PT NPI
1356427017OtherMDJONES, DC, NPI
1922184522OtherMDKILCHENSTEIN, DC, NPI
1053497792OtherMDBERRY, PTA, NPI
1366528069OtherMDDR. GRAY NPI
1558467019OtherMDABRAMSON, DC, NPI

National Provider Directory

National Provider Directory

Locations

1235 E Monument St
#S108
Baltimore, MD 21202
Phone (410) 563-1804

3121 Saint Paul St
Ste 2
Baltimore, MD 21218
Phone (410) 662-5636

3121 Saint Paul St
#20
Baltimore, MD 21218
Phone (410) 486-2298

583 Frederick Rd
Baltimore, MD 21228
Phone (410) 744-9929

2459 Frederick Ave
Baltimore, MD 21223
Phone (410) 945-6018

6615 Reisterstown Rd
#S20
Baltimore, MD 21215
Phone (410) 486-2298

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1043312036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30160",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212700160",
            "telephone_number": "410-486-2298",
            "fax_number": "410-358-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "410-486-2298",
            "fax_number": "410-358-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEALTHCARE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BALAKIRSKY",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "410-486-2298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERATI, DC, NPI",
            "identifier": "1255417986",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATTON, DC NPI",
            "identifier": "1477621571",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1477621571",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4138091 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESTSIDE NPI NUMBER",
            "identifier": "106387044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER, DR. VO",
            "identifier": "1073642377",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCGEE PT NPI",
            "identifier": "1750467478",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDERSON PT NPI",
            "identifier": "1144304965",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JONES, DC, NPI",
            "identifier": "1356427017",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KILCHENSTEIN, DC, NPI",
            "identifier": "1922184522",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERRY, PTA, NPI",
            "identifier": "1053497792",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. GRAY NPI",
            "identifier": "1366528069",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABRAMSON, DC, NPI",
            "identifier": "1558467019",
            "state": "MD"
        }
    ],
    "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 Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.