NPIMap

Organization Active NPI

Jerry T Stuckey DC PA

  • Rehabilitation Chiropractor
  • Towson, MD
National Provider Identifier
1770639551
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
01932 Issued in MD
Legal business name
JERRY T STUCKEY DC PA
Practice address
7407 York Rd
Towson, MD 21204-7504
Phone
(410) 821-7200
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Dr. Jerry T Stuckey, DC
Title
President
Phone
(410) 821-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 01932 MD Primary

Addresses

Primary practice location

7407 York Rd
Towson, MD 21204-7504

Mailing address

7407 York Rd
Towson, MD 21204-7504
Phone (410) 821-7200

Other names 1

  • American Chiropractic Health Doing business as

National Provider Directory

National Provider Directory

Locations

7407 York Rd
Towson, MD 21204
Phone (410) 821-7200

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1770639551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 YORK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047504",
            "telephone_number": "410-821-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 YORK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047504",
            "telephone_number": "410-821-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY T STUCKEY DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-821-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "01932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Chiropractic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.