Essex Medical Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03885 Issued in MD

Legal business name

ESSEX MEDICAL CENTER

Doing business as

Slade Healthcare

Practice address

3401 Erdman Ave
A
Baltimore, MD 21213-1956

Phone

(410) 276-9222

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jason Daniel Ellis, D.C .

Title

Chiropractor

Phone

(410) 276-9222

Specialties & licenses 1

Addresses

Other names 1

• Slade Healthcare Doing business as

Tax ID family

Erdman Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Erdman Medical Center, Inc.

  • Chiropractor
  • Baltimore, MD
  • NPI 1063722890
  NPD tax ID

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1073965281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216714",
            "telephone_number": "410-276-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ERDMAN AVE",
            "address_2": "A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131956",
            "telephone_number": "410-276-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "410-276-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C ."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slade Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Essential Luxury LLC
• Essential Medical Solutions, LLC
• Cara Esser, MD
• Essex Dental Group LLC
• Essex Family Dentistry
• Joseph Essex
• Mark Edoho Essien
• Amy Essig
• Pamela Boland Essig, P.T.
• Essilor Laboratories of America, Inc. (New City Optical)

• Chiropractor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.