Organization Active NPI

Joanne Bushman DC PA

  • Chiropractor
  • Salisbury, MD
National Provider Identifier
1962683151
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOANNE BUSHMAN DC PA
Practice address
305 N Division St
Salisbury, MD 21801-4218
Phone
(410) 543-1230
Fax
(410) 543-1263
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Joanne K Bushman, D.C.NPI 1497748230
Title
Chiropractor
Phone
(410) 543-1230

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

305 N Division St
Salisbury, MD 21801-4218

Mailing address

30349 Holly LN
Delmar, MD 21875-2406
Phone (410) 543-1230

Other identifiers 1

IdentifierTypeStateIssuer
M097OtherMDBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000556 MD Part B Supplier - Clinic/Group Practice 1355475617 Receives reassigned benefits from 1 practitioner
Practice locations: Delmar, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1962683151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30349 HOLLY LN",
            "city": "DELMAR",
            "state": "MD",
            "postal_code": "218752406",
            "telephone_number": "410-543-1230",
            "fax_number": "410-543-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N DIVISION ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014218",
            "telephone_number": "410-543-1230",
            "fax_number": "410-543-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE BUSHMAN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "BUSHMAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "410-543-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "M097",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.