Advanced Spinal Care & Rehabilitation Inc.
Organization Active NPI Chiropractor · Timonium, MD
NPI 1508080797 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1508080797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- S01893 (MD)
- Legal business name
- ADVANCED SPINAL CARE & REHABILITATION INC.
- Practice address
- 9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116 - Phone
- (410) 252-0040
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Daiuto Sr., D.C.
- Title
- President
- Phone
- (410) 252-0040
Practitioners 1
-
Michael Daiuto Sr., D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041018000794 | MD | Part B Supplier - Clinic/Group Practice | 0042270605 |
Receives reassigned benefits from 1 practitioner Practice locations: Timonium, MD |
National Provider Directory
Locations
9515 Deereco Rd
Ste 305
Timonium, MD 21093
Phone (410) 252-0040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | S01893 | MD | Yes |
Addresses
Primary practice location
9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116
Mailing address
9515 Deereco Rd
Suite 305
Timonium, MD 21093-2116
Other providers in Timonium, MD
- Advanced Medical Center, Inc.
- Advanced Pain Management Specialists LLC
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
- Advanced Radiology P a
- Advanced Spine and Pain Centers, PLLC
- Affiliated Sante Group
- Affiliated Sante Group
- Gurminder Singh Ahuja
- Albert H Dudley III MD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.