OrganizationActive
Ancient Widom Healing Arts
NPI 1114318094 · Acupuncturist · Towson, MD
Ancient Widom Healing Arts is a Acupuncturist organization in Towson, MD (NPI 1114318094).
Provider details
- NPI number
- 1114318094
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Steven Broussard, Vice President(443) 838-3141
- License
- LIC # U01120 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
658 Kenilworth Dr
Suite #102
Towson, MD 21204-2312
Phone: (443) 838-3141
Fax: (410) 377-6168
Street-level locationGet directions
Mailing address
918 Wellington Rd
Baltimore, MD 21212-1921
Registry dates
- Enumerated
- 2015-02-12
- Last updated
- 2015-02-12
Frequently asked questions
- What is Ancient Widom Healing Arts's NPI number?
- Ancient Widom Healing Arts's National Provider Identifier (NPI) is 1114318094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ancient Widom Healing Arts?
- Ancient Widom Healing Arts is classified in the NPPES registry as Acupuncturist (Other Service Providers).
- Where is Ancient Widom Healing Arts located?
- Ancient Widom Healing Arts's practice location on file with NPPES is 658 Kenilworth Dr, Towson, MD 21204-2312.
- What is Ancient Widom Healing Arts's phone number?
- The practice phone number listed in the NPPES registry for Ancient Widom Healing Arts is (443) 838-3141.
- Who is the authorized official for Ancient Widom Healing Arts?
- The authorized official listed on Ancient Widom Healing Arts's NPPES record is Steven Broussard, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ancient Widom Healing Arts's NPI active?
- Yes — Ancient Widom Healing Arts's NPI (1114318094) is active in the NPPES registry as of the last update on 2015-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.