DR. SHAUN R MCCLENNY (NPI# 1104941509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104941509 |
| Entity Type | Individual |
| Full Name | DR. SHAUN R MCCLENNY |
| Credential | D.C. |
| Practice Address |
1625 Crofton Ctr Crofton MD 21114-1318 |
| Mailing Address |
Po Box 3788 Crofton MD 21114-3788 |
| Practice Telephone | 4104513561 |
| Practice Fax Number | 4104512265 |
| Mailing Telephone | 4104513561 |
| Mailing Fax Number | 4104512265 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
03452 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST RENDERING # | 64671401 | 01 |
| MD | TAX ID | 260119934 | 01 |
| MD | CAREFIRST XIP | K7710001 | 01 |
| Street Address |
1625 CROFTON CTR |
| City | CROFTON |
| State | MD |
| Zip Code | 21114-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881911584 | Capitol Rehab of Crofton Inc | Clinic/Center | 1625 Crofton Ctr, Crofton, MD 21114-1318 | 2010-04-21 |
| 1053510719 | Mindful Healing, Inc. | Acupuncturist | 1625 Crofton Ctr, Crofton, MD 21114-1318 | 2007-07-13 |
| 1679779318 | Steven Douglas Smith | Acupuncturist | 1625 Crofton Ctr, Crofton, MD 21114-1318 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857156 | Betty J Wanjau | Occupational Therapy Assistant | 2131 Davidsoville Rd, Crofton, MD 21114 | 2019-08-22 |
| 1972067494 | Brightview Crofton, LLC | Alzheimer Center (Dementia Center) | 1301 Clarity Drive, Crofton, MD 21114 | 2019-01-29 |
| 1225522147 | Jodie Rich | Pharmacist | Shoppers, 1649 Crofton Center, Crofton, MD 21114 | 2018-06-15 |
| 1447769054 | Danielle Ellen Barton | Counselor | 1627 Ardsley Place, Crofton, MD 21114 | 2017-09-26 |
| 1093250474 | Holistic, Re-education, & Empowering Serices, LLC | Community/Behavioral Health | 2305 Fairhaven Lane, Crofton, MD 21114 | 2016-12-21 |
| 1326594201 | Evette Shields | Adult Companion | 1617 Parkridge Circle #152, Crofton, MD 21114 | 2016-08-30 |
| 1861866832 | Kathryn Bucher | Occupational Therapist | 2435 Bolton Lane, Crofton, MD 21114 | 2015-11-13 |
| 1730512062 | James Martin Schwartz | Dentist | 1286 Route 3 North, Crofton, MD 21114 | 2013-08-09 |
| 1184923088 | Jean Louise Dela Torre | Speech-Language Pathologist | 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 | 2011-03-18 |
| 1295033488 | Nancy Fox Royster | Registered Nurse | 1004 Broderick Court, Crofton, MD 21114 | 2011-03-11 |
| Find all providers in zip 21114 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306216700 | K & L Chiropractic Inc | Chiropractor | 121 Congressional Ln Ste 600, Rockville, MD 20852-1562 | 2015-09-29 |
| 1164796181 | Annapolis Back & Neck Center, LLC | Chiropractor | 914 Bay Ridge Rd Ste 150, Annapolis, MD 21403-3953 | 2012-03-08 |
| 1801034079 | Hodges Chiropractic Pa | Chiropractor | 1300 E Ritchie Hwy, Arnold, MD 21012-2244 | 2009-01-27 |
| 1366645822 | You Can Be Fit, Inc | Chiropractor | 12200 Tech Road, Suite 104, Silver Spring, MD 20904-7871 | 2007-06-11 |
| 1467671495 | Donna Marie Carr | Chiropractor | 2 N 2nd St, Laurel, MD 20723-1866 | 2007-04-25 |
| 1518186410 | Joseph Jacob Mufareh | Chiropractor | 9115 Belair Rd, Baltimore, MD 21236-1602 | 2007-04-25 |
| 1801011895 | Howard County Chiropractic Spine & Sports Rehabilitation. LLC | Chiropractor | 8894 Stanford Blvd, Suite I02, Columbia, MD 21045-4794 | 2007-04-16 |
| 1376665141 | Mitchell Robert Silverman | Chiropractor | 1703 E Joppa Rd, Baltimore, MD 21234-3638 | 2007-04-04 |
| 1265558217 | Kevin F Benson | Chiropractor | 6211 Executive Blvd, Rockville, MD 20852-3906 | 2007-03-21 |
| 1396870846 | Tod Owen Boehm | Chiropractor | 2855 Chesapeake Bch Rd W, Dunkirk, MD 20754-9530 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.