Organization Active NPI

Hagerstown Health LLC

  • Chiropractor
  • Hagerstown, MD
National Provider Identifier
1629448519
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03651 Issued in MD
Legal business name
HAGERSTOWN HEALTH LLC
Practice address
1329 Pennsylvania Ave
Hagerstown, MD 21742-3157
Phone
(301) 791-7111
Fax
(301) 791-7119
NPI assigned
Oct 5, 2015
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HAGERSTOWN HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Kelly Sauser
Title
Office Manager
Phone
(301) 791-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03651 MD Primary

Addresses

Primary practice location

1329 Pennsylvania Ave
Hagerstown, MD 21742-3157

Mailing address

1329 Pennsylvania Ave
Hagerstown, MD 21742-3157
Phone (301) 791-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208000334 MD Part B Supplier - Clinic/Group Practice 8325342629 Receives reassigned benefits from 2 practitioners
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory
Part of
Hagerstown Health LLC

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1629448519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423157",
            "telephone_number": "301-791-7111",
            "fax_number": "301-791-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423157",
            "telephone_number": "301-791-7111",
            "fax_number": "301-791-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGERSTOWN HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAGERSTOWN HEALTH LLC",
        "enumeration_date": "2015-10-05",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "SAUSER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-791-7111"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.