Amy Marie Petrunak

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

35068169P Issued in OH

Practice address

500 Gypsy LN
Youngstown, OH 44504-1315

Phone

(330) 747-6700

NPI assigned

Jul 21, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apetrunak1893@direct.chmca.org

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.

• Akron Children'S Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710908249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROCKY LEDGE DR",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-747-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUNAK",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "35068169P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029576",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Everett Petrick, DO
• Petrilla Inc Dba Dicks Pharmacy
• Richard A Petrilla, RPH
• Christina Rae Petro, PMHNP-BC
• Sara Jane Petrosky, RN
• Rosella Petrus, PTA
• Arys Petties
• Elizabeth Pettway-Mauzy
• Tracey L Petuch, LPC
• Natalie Pezzone, M.A., BCBA

• Personal Emergency Response Attendant in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Personal Emergency Response Attendant in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.