VALLEY CHIROPRACTIC LLC (NPI# 1629260575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629260575 |
| Entity Type | Organization |
| Organization Name | VALLEY CHIROPRACTIC LLC |
| Practice Address |
110 Baughmans Ln Ste 200 Frederick MD 21702-4916 |
| Practice Telephone | 3016240024 |
| Practice Fax Number | 3016240026 |
| Mailing Telephone | 3016240024 |
| Mailing Fax Number | 3016240026 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | DR. DENNIS R. TRAVAGLINE (OWNER) |
| Authorized Official Telephone | 3106240024 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S02048 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/BS | 1584302 | 01 |
| DC | CAREFIRST BC/BS | J571-0001 | 01 |
| Street Address |
110 BAUGHMANS LN STE 200 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910481 | Mid-atlantic Chiropractic North Frederick, LLC | Chiropractor | 2480 Osprey Way Ste C, Frederick, MD 21701-1959 | 2020-07-30 |
| 1467015735 | Adam Preston Smith | Chiropractor | 1080 W Patrick St Ste 15, Frederick, MD 21703-3971 | 2019-04-22 |
| 1407363781 | Nicole Michelle Heatherly | Chiropractor | 7196 Crestwood Blvd Ste 100, Frederick, MD 21703-1845 | 2018-01-08 |
| 1861785107 | Megan Epps | Chiropractor | 5400 Wolf St, Frederick, CO 80504-3432 | 2011-05-19 |
| 1174835367 | Rs Joint Venture LLC | Chiropractor | 1780 N Market St, Ste B, Frederick, MD 21701-4300 | 2010-07-05 |
| 1760650535 | Kenneth John Williams | Chiropractor | 154 N Market St, Frederick, MD 21701-5423 | 2008-02-14 |
| 1346459336 | Tollhouse Chiropractic, Pa | Chiropractor | 812 Toll House Ave, Frederick, MD 21701-4519 | 2007-05-22 |
| 1225240492 | Gary Trupo,d.c. | Chiropractor | 604 Solarex Ct Unit 101, Frederick, MD 21703-8678 | 2007-05-03 |
| 1144367210 | Kersten Chiropractic PC | Chiropractor | 630 Main St., A, Frederick, CO 80530 | 2007-01-30 |
| 1538226949 | Robert Frederick Staley | Chiropractor | 532 Pearl St, Frederick, MD 21701-6409 | 2007-01-03 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.