Maria Antonette Petrucci, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1202 Issued in MD

Practice address

9145 Guilford Road
Suite 100
Columbia, MD 21046-2576

Phone

(410) 880-4215

Fax

(410) 880-4192

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942337530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 GUILFORD ROAD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462576",
            "telephone_number": "410-880-4215",
            "fax_number": "410-880-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9145 GUILFORD ROAD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462576",
            "telephone_number": "410-880-4215",
            "fax_number": "410-880-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "MARIA",
        "middle_name": "ANTONETTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RENDERING",
            "identifier": "41920704",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON PAR BCBS",
            "identifier": "M634",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raylee Peterson
• Petra Dentistry LLC
• Terie Petrone, RN
• Alessia Giovanna Petroni
• Monica Petroski, PSY.D.
• Dana Petry
• Bridget Marie Pettiford, OTR/L
• Maximilian Pettis, PHARMD
• Corinne Nowelle Petty
• Megan Emilee Peyton

• Chiropractor in Columbia, MD
• Providers in Columbia, MD by specialty
• Chiropractor in Maryland

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.