Mark Louis Stutman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01906 Issued in MD

Practice address

239 South Broadway
Stutman Chiropractic, P.C.
Baltimore, MD 21231

Phone

(410) 522-7446

Fax

(410) 522-0071

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stutman Chiropractic PC

  • Chiropractor
  • Takoma Park, MD
  • NPI 1114359262
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1336218346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SOUTH BROADWAY",
            "address_2": "STUTMAN CHIROPRACTIC, P.C.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21231",
            "telephone_number": "410-522-7446",
            "fax_number": "410-522-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 SOUTH BROADWAY",
            "address_2": "STUTMAN CHIROPRACTIC, P.C.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21231",
            "telephone_number": "410-522-7446",
            "fax_number": "410-522-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTMAN",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Sturgis
• Leah Blayre Sturgis, AG-ACNP
• Meloni Lori Anna Sturgis
• Katherine Sturiano, NP
• Raymond A Sturner, M.D.
• Hannah Elizabeth Stutzman, MS, CGC
• Ray Stutzman, M.D.
• Selina Su, PA-C
• Thomas Su
• Eric Pinn Suan, M.D.

• 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 Apr 9, 2008; 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.