NPIMap

Organization Active NPI

Maryland Healthcare Clinics

  • Physical Therapist
  • Randallstown, MD
National Provider Identifier
1316112394
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MARYLAND HEALTHCARE CLINICS
Practice address
5310 Old Court Rd
Suite 104
Randallstown, MD 21133-5243
Phone
(410) 655-4420
Fax
(410) 655-5455
NPI assigned
Apr 29, 2008
Organization subpart
Yes
Parent organization
MARYLAND HEALTHCARE CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 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
Phone
(410) 358-3200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5310 Old Court Rd
Suite 104
Randallstown, MD 21133-5243

Mailing address

6615 Reisterstown Rd
First Floor
Baltimore, MD 21215-2686
Phone (410) 318-6253

Other names 1

  • MARYLAND HEALTHCARE CLINICS Other name

National Provider Directory

National Provider Directory
Tax ID family
Maryland Healthcare Clinics5 organizations share this tax ID, including this one
Part of
Maryland Healthcare Clinics

Other organizations with this tax ID 4

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

Locations

5310 Old Court Rd
Ste 104
Randallstown, MD 21133
Phone (410) 655-4420

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1316112394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD",
            "address_2": "FIRST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "410-318-6253",
            "fax_number": "410-358-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD",
            "address_2": "SUITE 104",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335243",
            "telephone_number": "410-655-4420",
            "fax_number": "410-655-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEALTHCARE CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND HEALTHCARE CLINICS",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BALAKIRSKY",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-358-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYLAND HEALTHCARE CLINICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.