Active NPI
Scott Rudick, D.C.
- Chiropractor
- Baltimore, MD
National Provider Identifier
1487954137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01871
- Practice address
- 3502 W Rogers Ave
Suite 3
Baltimore, MD 21215-4749 - Phone
- (410) 367-1966
- Fax
- (410) 367-2001
- NPI assigned
- Oct 28, 2010
- 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 | S01871 | MD | Primary |
Addresses
Primary practice location
3502 W Rogers Ave
Suite 3
Baltimore, MD 21215-4749
Mailing address
3502 W Rogers Ave Ste 3
Baltimore, MD 21215-4749
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S01871 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charm City Medical Associates PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1710012463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1487954137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 W ROGERS AVE STE 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 W ROGERS AVE",
"address_2": "SUITE 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154749",
"telephone_number": "410-367-1966",
"fax_number": "410-367-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDICK",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S01871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.