Organization Active NPI

First Step Chiropractic, LLC

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1629467428
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03756 Issued in MD
Legal business name
FIRST STEP CHIROPRACTIC, LLC
Practice address
1501 Sulgrave Ave
Suite 302
Baltimore, MD 21209-3654
Phone
(443) 869-3626
Fax
(443) 869-5548
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Pamela Joyce Woodward, D.C.
Title
Owner
Phone
(609) 790-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X S03756 MD Primary

Addresses

Primary practice location

1501 Sulgrave Ave
Suite 302
Baltimore, MD 21209-3654

Mailing address

244 Medwick Garth E
Baltimore, MD 21228-2102
Phone (609) 790-4421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150422000530 MD Part B Supplier - Clinic/Group Practice 6800114984 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

2 Hamill Rd
Ste 220
Baltimore, MD 21210
Phone (410) 435-0406

1501 Sulgrave Ave
Ste 302
Baltimore, MD 21209
Phone (410) 699-9552

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1629467428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MEDWICK GARTH E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212282102",
            "telephone_number": "609-790-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "443-869-3626",
            "fax_number": "443-869-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-790-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03756",
            "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 May 4, 2015; 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.