NPIMap

Organization Active NPI

Mount Clare Medical Center, Inc.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1659681583
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOUNT CLARE MEDICAL CENTER, INC.
Practice address
1261 W Pratt St
Baltimore, MD 21223-2666
Phone
(410) 244-1717
Fax
(410) 244-1666
NPI assigned
Oct 13, 2010
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Mr. Michael Podin
Title
President
Phone
(410) 244-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1261 W Pratt St
Baltimore, MD 21223-2666

Mailing address

1261 W Pratt St
Baltimore, MD 21223-2666
Phone (410) 244-1717

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1659681583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232666",
            "telephone_number": "410-244-1717",
            "fax_number": "410-244-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232666",
            "telephone_number": "410-244-1717",
            "fax_number": "410-244-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CLARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "PODIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-244-1717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 13, 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.

Verify at the official NPI Registry.