Stutman Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01906

Legal business name

STUTMAN CHIROPRACTIC PC

Practice address

7505 New Hampshire Ave Ste 209
Takoma Park, MD 20912-6973

Phone

(301) 431-2225

Fax

(240) 510-2178

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark L Stutman, DCNPI 1336218346

Title

Ceo / President

Phone

(410) 522-7746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• Mark Louis Stutman, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1336218346
  Medicare reassignment NPD Authorized official
• Yizhak Bushwick, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1790024537
  Medicare reassignment NPD

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1114359262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 SMITH AVE STE 124",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091426",
            "telephone_number": "410-382-9555",
            "fax_number": "240-510-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 NEW HAMPSHIRE AVE STE 209",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126973",
            "telephone_number": "301-431-2225",
            "fax_number": "240-510-2178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Laurel Fort Meade Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207242040",
            "country_code": "US",
            "telephone_number": "240-436-2225",
            "fax_number": "240-510-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1736 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212312422",
            "country_code": "US",
            "telephone_number": "410-522-7746",
            "fax_number": "240-510-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STUTMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2023-02-10",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "STUTMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "410-522-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "S01906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Stieg, LCSW-C
• Monroe S Stokvis, OD
• Elizabeth D Strasser-Nicol IV
• Robert Streete
• Deborah Ann Stromberg, M.AC. L.AC. DIPL.AC.
• Vijayalakshmi Subramanian, M.D.
• Sawali Sudarshan, MD PHD
• Kempanna Sudhakar, M.D.
• Gillian Sukachevin, M.S.P.T.
• Janet Svirsky, LMSW

• Chiropractor in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.