DR. DANIEL EDGAR BURGDORF (NPI# 1003985086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003985086 |
| Entity Type | Individual |
| Full Name | DR. DANIEL EDGAR BURGDORF |
| Credential | D.C. |
| Practice Address |
7750 Merrick Rd Rome NY 13440-2136 |
| Practice Telephone | 3153366761 |
| Practice Fax Number | 3153366761 |
| Mailing Telephone | 3153366761 |
| Mailing Fax Number | 3153366761 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X1700 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WCB AUTHORIZATION NUMBER | C01700-6 | 01 |
| Street Address |
7750 MERRICK RD |
| City | ROME |
| State | NY |
| Zip Code | 13440-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467726919 | Michael Ethan Burgdorf | Chiropractor | 7750 Merrick Rd, Rome, NY 13440-2136 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1316444094 | Nuccio Chiropractic Pllc | Chiropractor | 1617 N James St Ste 500, Rome, NY 13440-2851 | 2018-04-10 |
| 1598124174 | Nicholas Destito | Chiropractor | 143 North Washington St, Rome, NY 13440-3442 | 2016-02-11 |
| 1639509326 | Joint Spine& Disc Associates, LLC | Chiropractor | 304 E 2nd Ave, Rome, GA 30161-3222 | 2013-11-18 |
| 1205108834 | Proctor Keene Clinic | Chiropractor | 1101 Martha Berry Blvd Nw, Rome, GA 30165-1611 | 2012-01-27 |
| 1255659447 | Leslie A Tucker | Chiropractor | 2 Webster St Nw, Rome, GA 30165-2450 | 2010-05-12 |
| 1124272711 | Kondyles Chiropractic PC | Chiropractor | 1607b Martha Berry Blvd Nw, Rome, GA 30165-1621 | 2008-11-09 |
| 1619151644 | Russell Edwin Delaino | Chiropractor | 4 Shorter Ave Nw, Rome, GA 30165-2400 | 2007-12-27 |
| 1609070788 | Whitehall Medical Center | Chiropractor | 1011 N 5th Ave Ne, Rome, GA 30165-2601 | 2007-06-13 |
| 1861608242 | Dominick Nuccio | Chiropractor | 406 Turin St, Rome, NY 13440-3315 | 2007-05-15 |
| 1093939019 | Brooks Coville | Chiropractor | 1607 Martha Berry Blvd Nw, Suite B, Rome, GA 30165-1621 | 2007-04-12 |
| Find all providers in ROME | ||||
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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.