Individual provider Active NPI

Colleen Pietrowski, D.C.

  • Chiropractor
  • Timonium, MD
National Provider Identifier
1497825186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001844 Issued in MD
Practice address
1840 York Rd
Suite F
Timonium, MD 21093-5121
Phone
(410) 560-5661
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001844 MD Primary

Addresses

Primary practice location

1840 York Rd
Suite F
Timonium, MD 21093-5121

Mailing address

1840 York Rd
Suite F
Timonium, MD 21093-5121
Phone (410) 560-5661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000713 MD Practitioner - Chiropractic 5890898191 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01844MDMDPsychologist
001844MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Center, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1840 York Rd
Ste F
Timonium, MD 21093
Phone (410) 252-1845

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497825186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 YORK RD",
            "address_2": "SUITE F",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935121",
            "telephone_number": "410-560-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 YORK RD",
            "address_2": "SUITE F",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935121",
            "telephone_number": "410-560-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROWSKI",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "001844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.