Carolyn Maureen Petko, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012308 Issued in NY

Practice address

6311 Bridlewood Dr S
East Amherst, NY 14051-2034

Phone

(716) 741-9006

Fax

(716) 630-6403

NPI assigned

Jan 28, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David J. Lewis DC PC

  • Chiropractor
  • Clarence, NY
  • NPI 1588909725
  NPD (past)
• Highway2Health Chiropractic Inc

  • Chiropractor
  • Jackson, MS
  • NPI 1053588830
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1073851994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 BRIDLEWOOD DR S",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512034",
            "telephone_number": "716-741-9006",
            "fax_number": "716-630-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 BRIDLEWOOD DR S",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512034",
            "telephone_number": "716-741-9006",
            "fax_number": "716-630-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETKO",
        "first_name": "CAROLYN",
        "middle_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Path to Wellness Adult Health Nurse Practitioner Services
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• Mary Jo Penizotto, PH.D.
• Kelley Perkins
• Philip J Young DDS PLLC
• Laura Rose Picano
• Kayla Nicole Pierce, PA-C
• Mark P Pierino, PA-C
• Allison M Plunkett

• Chiropractor in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.