Gregory D Kersh D C P C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

S01706 Issued in MD

Legal business name

GREGORY D KERSH D C P C

Practice address

9351 Lakeside Blvd
Suite 203
Owings Mills, MD 21117-5062

Phone

(410) 998-3111

Fax

(410) 998-3113

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory D. Kersh, D.C.NPI 1972599975

Title

President, Owner

Phone

(410) 998-3111

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• NEW TOWN CHIROPRACTIC & PHYSICAL THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

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

• Gregory D Kersh, D.C.

  • Chiropractor
  • Owings Mills, MD
  • NPI 1972599975
  Medicare reassignment NPD Authorized official
• Bryan Weslowski, M.A., P.T.

  • Physical Therapist
  • Hilton Head Island, SC
  • NPI 1578664256
  NPD
• Robin Lisa Steinberg, M.P.T.

  • Physical Therapist
  • Owings Mills, MD
  • NPI 1639142425
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1487875340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 LAKESIDE BLVD",
            "address_2": "SUITE 203",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175062",
            "telephone_number": "410-998-3111",
            "fax_number": "410-998-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 LAKESIDE BLVD",
            "address_2": "SUITE 203",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175062",
            "telephone_number": "410-998-3111",
            "fax_number": "410-998-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D KERSH D C P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "KERSH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "410-998-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S01706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN -DBA - NEW TOWN CHIRO...",
            "identifier": "187207",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI, MDIPA, OPT CH.  ID",
            "identifier": "297921",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "187205YBVU",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "4595917",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE,FEDERAL BCBS",
            "identifier": "E301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS ID",
            "identifier": "M453",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW TOWN CHIROPRACTIC & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Salih Grice, M.D.
• John Howard Grieb, PHARMD
• Dana Jacquelyn Grimmel, LGPC
• Deborah Gross
• Latwania Gross

• Rehabilitation Chiropractor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.