DR. VIRGINIA ANNE PETZOLD (NPI# 1639245434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639245434 |
| Entity Type | Individual |
| Full Name | DR. VIRGINIA ANNE PETZOLD |
| Other Name | DR. VIRGINIA ANNE TIBALDI |
| Credential | DC |
| Practice Address |
50 North Church Street Homestead Chiropractic Goshen NY 10924 |
| Practice Telephone | 8452941136 |
| Practice Fax Number | 8452941136 |
| Mailing Telephone | 8452941136 |
| Mailing Fax Number | 8452941136 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X006252 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS BLUE SHIELD | X69561 | 01 |
| NY | OXFORD HEALTH PLANS | P3133088 | 01 |
| Street Address |
50 NORTH CHURCH STREET HOMESTEAD CHIROPRACTIC |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| 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 |
|---|---|---|---|---|
| 1679085625 | Avad Chiropractic & Wellness LLC | Chiropractor | 2856 Eisenhower Dr N Ste 1, Goshen, IN 46526-8809 | 2017-10-31 |
| 1932590429 | Homestead Chiropractic | Chiropractor | 50 N Church St, Goshen, NY 10924-1563 | 2015-02-05 |
| 1639414642 | Megan Lynn Keim | Chiropractor | 2424 Peddlers Village Rd, Goshen, IN 46528-5778 | 2012-12-02 |
| 1437493947 | Gerald Rogo | Chiropractor | 66 Prospect Ave, Goshen, NY 10924-8939 | 2012-11-21 |
| 1528369550 | Randall Lee Martin | Chiropractor | 2400 Elkhart Rd, Goshen, IN 46526-1010 | 2010-11-08 |
| 1770806432 | Diego A Marmanillo | Chiropractor | 15 Matthews St Ste 302, Goshen, NY 10924-1995 | 2010-03-10 |
| 1770602203 | New York Chiropractic Healthcare Pllc | Chiropractor | 9 Coates Dr, Goshen, NY 10924-6762 | 2007-03-28 |
| 1295812972 | Elaine K. Bigler-schmeltz | Chiropractor | 210 W Washington St, Goshen, IN 46526-3731 | 2006-11-01 |
| 1760567705 | Stanley Wojnicki | Chiropractor | 252 Greenwich Ave, Goshen, NY 10924-2015 | 2006-10-26 |
| 1669560280 | Maxim I Ivanov | Chiropractor | 401 E Madison St, Goshen, IN 46526-3431 | 2006-10-10 |
| Find all providers in GOSHEN | ||||
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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.