Zipporah Elan

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP2000 Issued in VA

Legal business name

ZIPPORAH ELAN

Practice address

301 Reisterstown Rd
FL 1
Baltimore, MD 21208-5313

Phone

(410) 486-4796

Fax

(410) 486-9749

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Terry Michael Elan, CP

Title

Vice President Prosthetist

Phone

(410) 486-4796

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Home Prostheticare Doing business as

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1265634190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 REISTERSTOWN RD",
            "address_2": "FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085313",
            "telephone_number": "410-486-4796",
            "fax_number": "410-486-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 REISTERSTOWN RD",
            "address_2": "FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085313",
            "telephone_number": "410-486-4796",
            "fax_number": "410-486-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIPPORAH ELAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ELAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT PROSTHETIST",
        "authorized_official_telephone_number": "410-486-4796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "CP2000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "59336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501038100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "63340001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "1028269",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58080901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Prostheticare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.