ANNAPOLIS BACK & NECK CENTER, LLC (NPI# 1164796181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164796181 |
| Entity Type | Organization |
| Organization Name | ANNAPOLIS BACK & NECK CENTER, LLC |
| Practice Address |
914 Bay Ridge Rd Ste 150 Annapolis MD 21403-3953 |
| Practice Telephone | 4102670033 |
| Practice Fax Number | 4102670444 |
| Mailing Telephone | 4102670033 |
| Mailing Fax Number | 4102670444 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | DR. JAMES MICHAEL WAGNER (OWNER) |
| Authorized Official Telephone | 4102670033 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
S01457 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS | M155 | 01 |
| MD | BCBS FEP | W2090001 | 01 |
| Street Address |
914 BAY RIDGE RD STE 150 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21403-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053814384 | Medequip Maufacturing. Inc. | Durable Medical Equipment & Medical Supplies | 301 Fourth Street, Annapolis, MD 21403 | 2018-03-13 |
| 1053839654 | Brittney Edwards | Pharmacist | 975 Bay Ridge Road Bridge Shopping Center, Annapolis, MD 21403 | 2017-09-03 |
| 1932585684 | Michael Furno | Physical Therapy Assistant | 35 Milkshake Lane, Annapolis, MD 21403 | 2015-08-05 |
| 1174948863 | Grace Ann Aumiller | Occupational Therapy Assistant | 180 Admiral Cochrane Drive, Annapolis, MD 21403 | 2014-03-04 |
| 1356787550 | Annie K Johnson | Family Medicine | 1419 Forest Dr. Ste 100, Annapolis, MD 21403 | 2013-05-14 |
| 1750647772 | Pauline A Gianoplus | Social Worker | 786 E Fairview Ave, E, Annapolis, MD 21403 | 2012-04-03 |
| 1962787366 | Katherine Sarah Billington | Nurse Anesthetist, Certified Registered | 534 Burnside Street, Annapolis, MD 21403 | 2011-10-17 |
| 1891979076 | Debra Joy Krausman | Counselor | 1107 Lake Heron Drive, Ta, Annapolis, MD 21403 | 2007-12-24 |
| 1770638785 | Mary Lee Zetter | Social Worker | 610 Harbor Drive, Annapolis, MD 21403 | 2007-01-23 |
| 1154478501 | Debra R Taylor | Occupational Therapist | 1419 Forest Drive, Suite 210, Annapolis, MD 21403 | 2007-01-05 |
| Find all providers in zip 21403 | ||||
| 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 |
|---|---|---|---|---|
| 1659439131 | John Michie | Chiropractor | 1832 George Ave, Annapolis, MD 21401-4103 | 2006-12-05 |
| 1801906334 | Anthony T Ricci | Chiropractor | 1610 West St, Suite 110, Annapolis, MD 21401-4055 | 2006-08-30 |
| 1669468989 | Robert A Rowe | Chiropractor | 2568a Riva Rd, Suite 205, Annapolis, MD 21401-7445 | 2005-09-22 |
| 1932445129 | John L Michie Dc PC | Chiropractor | 1832 George Ave, Annapolis, MD 21401-4103 | 2012-12-17 |
| 1306054408 | Robert A Rowe,dc,pc | Chiropractor | 2629 Riva Rd, Suite 110, Annapolis, MD 21401-7428 | 2007-05-20 |
| 1043338205 | Anthony Ricci P C | Chiropractor | 1610 West St, Suite 110, Annapolis, MD 21401-4055 | 2007-03-27 |
| 1083791818 | James M Wagner | Chiropractor | 107 Ridgely Ave, Ste. 11, Annapolis, MD 21401-1417 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306216700 | K & L Chiropractic Inc | Chiropractor | 121 Congressional Ln Ste 600, Rockville, MD 20852-1562 | 2015-09-29 |
| 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 |
| 1104941509 | Shaun R Mcclenny | Chiropractor | 1625 Crofton Ctr, Crofton, MD 21114-1318 | 2007-03-21 |
| 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.