Active NPI
Yizhak Bushwick, D.C.
- Chiropractor
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03745
- Practice address
- 1120 N Charles St
Suite 301
Baltimore, MD 21201-5592 - Phone
- (410) 522-7746
- Fax
- (410) 510-1844
- NPI assigned
- Feb 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010700 | PA | |
| Chiropractor | 111N00000X | S03745 | MD | Primary |
Addresses
Primary practice location
1120 N Charles St
Suite 301
Baltimore, MD 21201-5592
Mailing address
1120 N Charles St
Suite 301
Baltimore, MD 21201-5592
Phone (410) 522-7746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1736 Eastern Ave
Baltimore, MD 21231-2422
Phone (410) 522-7746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010700 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stutman Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
2833 Smith Ave
Ste 124
Baltimore, MD 21209
1120 N Charles St
Ste 301
Baltimore, MD 21201
Phone (410) 522-7746
3450 Laurel Fort Meade Rd
Ste 100
Laurel, MD 20724
Phone (240) 436-2225
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Takoma Park, MD
- NPI 1114359262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1790024537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST",
"address_2": "SUITE 301",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015592",
"telephone_number": "410-522-7746",
"fax_number": "410-510-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CHARLES ST",
"address_2": "SUITE 301",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015592",
"telephone_number": "410-522-7746",
"fax_number": "410-510-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHWICK",
"first_name": "YIZHAK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010700",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03745",
"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 Aug 19, 2013; 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.