| Maryland Spine Institute | |
|
730 Baltimore Pike, Bel Air, MD 21014-4244 | |
| (410) 877-8077 | |
| (410) 877-8577 |
| Full Name | Maryland Spine Institute |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 730 Baltimore Pike, Bel Air, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861824963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | S03558 (Maryland) | Primary |
| 225100000X | Physical Therapist | 20804 (Maryland) | Secondary |
| Provider Name | Tenica K Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689962920 PECOS PAC ID: 2668644485 Enrollment ID: I20111020000141 |
| Provider Name | Rochelin Herold |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871756858 PECOS PAC ID: 2264684182 Enrollment ID: I20121128000477 |
| Provider Name | Reginald E Degrafenreid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699149492 PECOS PAC ID: 2062713605 Enrollment ID: I20151223001655 |
| Provider Name | Amanda Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669925194 PECOS PAC ID: 5597048199 Enrollment ID: I20170206001040 |
| Provider Name | Tracy Crose Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023555281 PECOS PAC ID: 0648541508 Enrollment ID: I20170810002473 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Spine Institute 730 Baltimore Pike, Bel Air, MD 21014-4244 Ph: (410) 877-8077 | Maryland Spine Institute 730 Baltimore Pike, Bel Air, MD 21014-4244 Ph: (410) 877-8077 |
Dr. Samantha Dolan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1517 Rolling Rd, Bel Air, MD 21014 Phone: 631-806-0436 | |
Neubaum Wellness Group Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1035 Emmorton Rd, Bel Air, MD 21014 Phone: 410-569-5969 | |
North Park Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 4a North Ave, Ste 207, Bel Air, MD 21014 Phone: 410-893-8339 Fax: 410-838-8011 | |
Dr. Katharine Lee Sparrazza Neubaum, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1035 Emmorton Rd, Bel Air, MD 21014 Phone: 410-569-5969 Fax: 410-569-4454 | |
Christman Family Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2310 E Churchville Rd, Suite C, Bel Air, MD 21015 Phone: 410-734-4060 Fax: 410-734-4061 | |
Sydney Martin, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2105 Laurel Bush Rd Ste 103, Bel Air, MD 21015 Phone: 443-512-0025 Fax: 443-512-8844 | |
Dr. Jill Moore, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1213 Midwood Ct, Bel Air, MD 21014 Phone: 410-790-8524 |