Active NPI
Mark Andrew Poehlman, DC
- Chiropractor
- Catonsville, MD
National Provider Identifier
1225180284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1317PT
- Practice address
- 38 Bloomsbury Ave
Catonsville, MD 21228-4858 - Phone
- (410) 788-2225
- Fax
- (410) 788-0633
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 20, 2016
- 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 | 1317PT | MD | Primary |
Addresses
Primary practice location
38 Bloomsbury Ave
Catonsville, 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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1317 | MD | MD | Clinical Neuropsychologist |
| 1317PT | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1225180284",
"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": "CATONSVILLE",
"state": "MD",
"postal_code": "212284858",
"telephone_number": "410-788-2225",
"fax_number": "410-788-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POEHLMAN",
"first_name": "MARK",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "1317PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.