Individual provider Active NPI

Marc Gregory Gulitz, D.C.

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1962661405
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03660 Issued in MD
Practice address
2001 Eastern Ave Ste 1
Baltimore, MD 21231-3061
Phone
(443) 842-5500
Fax
(443) 842-5501
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03660 MD Primary

Addresses

Primary practice location

2001 Eastern Ave Ste 1
Baltimore, MD 21231-3061

Mailing address

2001 Eastern Ave Ste 1
Baltimore, MD 21231-3061
Phone (443) 842-5500

Other practice location 1

6810 Park Heights Ave Ste C4
Baltimore, MD 21215-1662
Phone (443) 842-5500

Other practice location 2

2563 Forest Dr # 201
Annapolis, MD 21401-3869
Phone (443) 842-5500

Other practice location 3

4201 Northview Dr
Bowie, MD 20716-2604
Phone (301) 882-5500

Other practice location 4

9403 Harford Rd # 101
Parkville, MD 21234-3123
Phone (443) 842-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210715002499 MD Practitioner - Chiropractic 1557763398 Reassigns benefits to 1 organization
I20211208001747 DC Practitioner - Chiropractic 1557763398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03660MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Spinal Rehab & Chiropractic PC Chiropractor CurrentSince Mar 23, 2021 Accepting new patients
Mid-Atlantic Spinal Rehab & Chiropractic PC Chiropractor Past Accepting new patients
Mid-Atlantic Spinal Rehab & Chiropractic Chiropractor Past Accepting new patients
Mid-Atlantic Spinal Rehab & Chiropractic PC Chiropractor PastSince Apr 10, 2022 Accepting new patients
Mid-Atlantic Spinal Rehab & Chiropractic PC Chiropractor Past Accepting new patients

Locations

2563 Forest Dr
#201
Annapolis, MD 21401
Phone 4438425500203

2001 Eastern Ave
Ste 1
Baltimore, MD 21231
Phone 4438425500 ext. 103

6810 Park Heights Ave
Ste C4
Baltimore, MD 21215
Phone (410) 358-6644

4201 Northview Dr
Ste 101
Bowie, MD 20716
Phone (301) 262-6066

9403 Harford Rd
Ste 1
Parkville, MD 21234
Phone (410) 882-0720

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1962661405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 EASTERN AVE STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313061",
            "telephone_number": "443-842-5500",
            "fax_number": "443-842-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EASTERN AVE STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313061",
            "telephone_number": "443-842-5500",
            "fax_number": "443-842-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 Park Heights Ave Ste C4",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212151662",
            "country_code": "US",
            "telephone_number": "443-842-5500",
            "fax_number": "667-309-6024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2563 Forest Dr # 201",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013869",
            "country_code": "US",
            "telephone_number": "443-842-5500",
            "fax_number": "443-949-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162604",
            "country_code": "US",
            "telephone_number": "301-882-5500",
            "fax_number": "240-245-3180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9403 Harford Rd # 101",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212343123",
            "country_code": "US",
            "telephone_number": "443-842-5500",
            "fax_number": "410-497-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULITZ",
        "first_name": "MARC",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03660",
            "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 Feb 8, 2022; 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.