EDWARD M BURDOCK (NPI# 1417086760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417086760 |
| Entity Type | Individual |
| Full Name | EDWARD M BURDOCK |
| Credential | DC CCSP |
| Practice Address |
208 S Marion Ave Washington IA 52353-1744 |
| Practice Telephone | 3196533573 |
| Practice Fax Number | 3196533573 |
| Mailing Telephone | 3196533573 |
| Mailing Fax Number | 3196533573 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2009-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | A06120 | IA | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
A06120 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0179408 | 05 | |
| IA | WELLMARK BLUE CROSS BLUE | 45770 | 01 |
| Street Address |
208 S MARION AVE |
| City | WASHINGTON |
| State | IA |
| Zip Code | 52353-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497986186 | Burdock Family Chiropratic PC | Chiropractor | 208 S Marion Ave, Washington, IA 52353-1744 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
| 1174727242 | Washington County Mini Bus Inc | Bus | 1010 W 5th, Washington, IA 52353 | 2007-06-13 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1194946459 | James Lewis Vanwinkle | Pharmacist | 400 E Polk, Washington, IA 52353 | 2007-05-02 |
| 1780701094 | Kim D Malichky | Pharmacist | 528 S Hwy #1, Washington, IA 52353 | 2007-03-23 |
| 1154736916 | Kelsey Renee Bayliss | Pharmacist | 222 S Iowa Ave, Washington, IA 52353 | 2014-06-30 |
| 1386914828 | Michael C Mcgowan | Nurse Anesthetist, Certified Registered | 400 E Polk St, Washington, IA 52353 | 2011-12-30 |
| 1689896532 | Todd Lynn Salow | Chiropractor | 112 E Washington St, Washington, IA 52353 | 2007-05-02 |
| 1285696906 | Family Counseling Services LLC | Social Worker | 110 N Iowa Ave, Suite 510, Washington, IA 52353 | 2006-04-06 |
| Find all providers in zip 52353 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265750665 | Dr Carl Gaudio Dc LLC | Chiropractor | 343 E Maiden St, Washington, PA 15301-5107 | 2010-05-10 |
| 1104900166 | Frank Howard Hornickel | Chiropractor | 132 E Maiden St, Washington, PA 15301-4914 | 2006-10-25 |
| 1578528964 | Tony Wano | Chiropractor | 193 W Beau St, Jefferson Court Plaza, Washington, PA 15301-4401 | 2006-04-19 |
| 1417295171 | Injury Free Performance Pllc | Chiropractor | 3000 Connecticut Ave Nw, Suite 138, Washington, DC 20008-2509 | 2013-01-30 |
| 1184900508 | Advanced Chiropractic & Sports Therapy, Inc | Chiropractor | 1001 Connecticut Ave Nw, Suite 228, Washington, DC 20036-5504 | 2011-10-31 |
| 1255624508 | Matthew Lee Davidson | Chiropractor | 1809 Heritage Hills Dr, Washington, MO 63090-4624 | 2011-05-19 |
| 1902858335 | Wano Chiropractic Weight Loss & Nutrition Centers, Inc. | Chiropractor | 193 W Beau St, Jefferson Court Plaza, Washington, PA 15301-4401 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685569 | Percuoco Chiropractic and Rehabilitation, Pllc | Chiropractor | 3200 Ingersoll Ave Ste E, Des Moines, IA 50312-3917 | 2020-03-26 |
| 1497131007 | Engineered Per4mance, Inc. | Chiropractor | 1711 Sw Plaza Pkwy, Ankeny, IA 50023 | 2015-08-05 |
| 1982089025 | Gerard Chiropractic | Chiropractor | 112 West Davenport St Unit 1, Eldridge, IA 52748 | 2015-07-29 |
| 1942621453 | Oleson Chiropractic, Inc | Chiropractor | 514 1st Ave, Armstrong, IA 50514-7700 | 2013-12-31 |
| 1508100579 | Forest City Chiropractic & Sports Clinic,p.c. | Chiropractor | 245 N Clark St, Forest City, IA 50436-1511 | 2012-11-15 |
| 1194973859 | King Chiropractic LLC | Chiropractor | 1749 E 54th St, Davenport, IA 52807-2769 | 2008-09-05 |
| 1861614596 | Terri Lyn Cooper | Chiropractor | 1500 Center St Ne, Cedar Rapids, IA 52402-5500 | 2007-05-03 |
| 1396861266 | Todd M Goodwin | Chiropractor | 30 W. 2nd Str., Kingsley, IA 51028 | 2007-03-22 |
| 1518010768 | Susan R. Duncan | Chiropractor | 301 E Mayne St, Blue Grass, IA 52726-9794 | 2007-01-19 |
| 1578622759 | Murphy Chiropractic PC | Chiropractor | 224 S. Main St., Odebolt, IA 51458 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON |
| Zip Code | 52353 |
Please comment or provide details below to improve the information on EDWARD M BURDOCK.
| 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.