| Potomac Valley Chiropractic | |
|
12105 Darnestown Rd, Suite L-8, Gaithersburg, MD 20854 | |
| (301) 869-0006 | |
| (301) 869-0201 |
| Full Name | Potomac Valley Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 12105 Darnestown Rd, Gaithersburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740490242 | NPI | - | NPPES |
| KCS6PO | Other | MD | BC BS |
| 0106381 | Medicaid | MD | |
| 010638100 | Medicaid | MD | |
| S8600001 | Other | DC | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 02045 (Maryland) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | S02045 (Maryland) | Primary |
| Provider Name | Spiros T Theodore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457358855 PECOS PAC ID: 3274583786 Enrollment ID: I20050124000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Chiropractic 12105 Darnestown Road, Suite L-8, Gaithersburg, MD 20878 Ph: (301) 869-0006 | Potomac Valley Chiropractic 12105 Darnestown Rd, Suite L-8, Gaithersburg, MD 20854 Ph: (301) 869-0006 |
Dr. Alcides Hector Carrillo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 317 E Diamond Ave, 202, Gaithersburg, MD 20877 Phone: 301-977-8595 Fax: 901-977-8596 | |
Dr. Matthew Tilkin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18310 Montgomery Village Ave Ste 120, Gaithersburg, MD 20879 Phone: 301-576-0500 Fax: 301-431-0010 | |
Sang Youl Youm, Chiropractor Medicare: Medicare Enrolled Practice Location: 6 Montgomery Village Ave Ste 401, Gaithersburg, MD 20879 Phone: 301-987-0424 Fax: 301-987-9339 | |
Deer Park Chiropractic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 604 S Frederick Ave, Suite 105, Gaithersburg, MD 20877 Phone: 301-990-4184 Fax: 301-990-4187 | |
Clark Chiropractic Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 418 East Diamond Ave, Gaithersburg, MD 20877 Phone: 301-926-1500 Fax: 301-926-0462 | |
Dr. Michael Wayne Orr, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4 Professional Dr Ste 139, Gaithersburg, MD 20879 Phone: 301-926-2228 Fax: 301-926-3342 | |
Dr. Kenneth John Fish, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 937 Russell Ave Ste B, Gaithersburg, MD 20879 Phone: 301-519-1881 Fax: 301-519-1131 |