Maryland Spine Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03384

Legal business name

MARYLAND SPINE CARE LLC

Practice address

517 Main Street
Reisterstown, MD 21136

Phone

(410) 833-3038

Fax

(410) 833-3039

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Ingram, DCNPI 1073697041

Title

Owner

Phone

(410) 833-3038

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Patrick Edward Ingram, DC

  • Chiropractor
  • Reisterstown, MD
  • NPI 1073697041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871688945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 MAIN STREET",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "410-833-3038",
            "fax_number": "410-833-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 MAIN STREET",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "410-833-3038",
            "fax_number": "410-833-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SPINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-833-3038",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "03384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "280BMA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "K0480001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "62538403",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marsit, NRCMA
• Joy E Martin, LCPC
• Angela Marts, PA-C
• Maryland CVS Pharmacy LLC
• Maryland Family Care, Inc.
• Maryland Spine Center Chartered
• Maryland Sportscare & Rehab, LLC
• Maryland Supply & Equipment Co. Inc
• Sherry Mason, SW
• Sarah Marie Matthews, PSYD

• Chiropractor in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.