Active NPI
Stevan Hugh Elliott, D.C.
- Chiropractor
- Baltimore, MD
National Provider Identifier
1891823647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1324
- Practice address
- 1828 E Joppa Rd
Baltimore, MD 21234-2735 - Phone
- (410) 882-7670
- Fax
- (410) 882-1623
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1324 | MD | Primary |
Addresses
Primary practice location
1828 E Joppa Rd
Baltimore, MD 21234-2735
Mailing address
1828 E Joppa Rd
Baltimore, MD 21234-2735
Phone (410) 882-7670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120106000285 | MD | Practitioner - Chiropractic | 0547436933 | Practice locations: Baltimore, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1828 E Joppa Rd
Baltimore, MD 21234-2735
Phone (410) 882-7670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1324 | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891823647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 E JOPPA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212342735",
"telephone_number": "410-882-7670",
"fax_number": "410-882-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 E JOPPA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212342735",
"telephone_number": "410-882-7670",
"fax_number": "410-882-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "STEVAN",
"middle_name": "HUGH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "1324",
"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 Jul 8, 2007; 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.