Evan Lawton Ellis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S04102 Issued in MD

Practice address

1122 Kenilworth Dr Ste 109
Towson, MD 21204-2141

Phone

(443) 901-4200

NPI assigned

Sep 8, 2021

Sex

Male

Sole proprietor

No

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

Specialty

Chiropractic

Education

New York Chiropractic College, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neubaum Wellness Group LLCGroup PAC ID 3779913215, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neubaum Wellness Group LLC

  dba Ultimate Health

  • Chiropractor
  • Bel Air, MD
  • NPI 1023654290
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1619646171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR # 106",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042139",
            "telephone_number": "443-901-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 109",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042141",
            "telephone_number": "443-901-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "EVAN",
        "middle_name": "LAWTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elimelech Katz, DMD, LLC (Towson General and Implant Dentistry)
• Elizabeth Cooney Home Care, Inc.
• Anita Maria Ellebracht, LCPC, ED.M., MA, MA
• Abbie M Ellicott, PH.D
• Lauren J Elliott, MD
• Gregory S Ellis, DPT
• Jennifer Elly, PT
• Ashlee Victoria Elms, PA
• Elone Home Care Therapies LLC
• Diana Emanuel, PH.D.

• Chiropractor in Towson, MD
• Providers in Towson, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.