Active NPI
Mercy Health Solutions LLC
- Chiropractor
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MERCY HEALTH SOLUTIONS LLC
- Practice address
- 3460 Ellicott Center Dr Ste 102
Ellicott City, MD 21043-4157 - Phone
- (410) 465-3074
- Fax
- (410) 220-0661
- NPI assigned
- Jan 4, 2019
- Last updated
- Oct 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jea Sub Song, D.C.
- Title
- Director
- Phone
- (410) 465-3074
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| Acupuncturist | 171100000X | NU |
Addresses
Primary practice location
3460 Ellicott Center Dr Ste 102
Ellicott City, MD 21043-4157
Mailing address
3460 Ellicott Center Dr Ste 102
Ellicott City, MD 21043-4157
Phone (410) 465-3074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Health Solutions LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Acupuncturist
- Ellicott City, MD
- NPI 1609545862
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Ellicott City, MD
- NPI 1942682174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1841763562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 ELLICOTT CENTER DR STE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434157",
"telephone_number": "410-465-3074",
"fax_number": "410-220-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 ELLICOTT CENTER DR STE 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434157",
"telephone_number": "410-465-3074",
"fax_number": "410-220-0661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-04",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "JEA SUB",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "410-465-3074",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.