JESSICA LYNN METZGER (NPI# 1023651742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023651742 |
Entity Type | Individual |
Full Name | JESSICA LYNN METZGER |
Practice Address |
300 Ny-104 Suite 1 Oswego NY 13126 |
Mailing Address |
300 State Route 104 Oswego NY 13126-2956 |
Practice Telephone | 3153420030 |
Mailing Telephone | 3153420030 |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
024308 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063060416 | Jessica Metzger | Student in an Organized Health Care Education/Training Program | 405 Central Ave, Northfield, IL 60093-3006 | 2019-08-29 |
1811414329 | Jessica Metzger | Physical Therapist | 13336 Industrial Rd Ste 105, Omaha, NE 68137-1124 | 2017-08-25 |
1477908945 | Jessica Metzger | Marriage & Family Therapist | 8421 Wayzata Blvd Ste 250, Golden Valley, MN 55426-1382 | 2016-05-03 |
1518375591 | Jessica Brooke Metzger | Physician Assistant | 2626 Alexandria Pike, Highland Heights, KY 41076-1530 | 2014-07-23 |
1952749616 | Jessica M Metzger | Registered Nurse | 3908 10th St Se, Puyallup, WA 98374-2188 | 2013-06-04 |
1619264330 | Jessica Metzger | Massage Therapist | 980 Grant St, Denver, CO 80203-2907 | 2011-07-01 |
1265668800 | Jessica Michelle Metzger | Registered Nurse | 560 W Fir Ave, Fergus Falls, MN 56537-1364 | 2009-06-10 |
Street Address |
300 NY-104 SUITE 1 |
City | OSWEGO |
State | NY |
Zip Code | 13126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
1033568928 | Emily Poulton | Speech-Language Pathologist | 1 Buccaneer Blvd, Oswego, NY 13126 | 2016-06-10 |
Find all providers in zip 13126 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
1114476231 | Emily Crandell | Physician Assistant | 300 State Route 104, Oswego, NY 13126-2956 | 2016-09-30 |
1154630366 | Bobbie Rae Faivus Vangorder | Physician Assistant | 110 W Utica St, Oswego, NY 13126-3047 | 2010-10-05 |
1457477499 | Curtis Charles Lieber | Physician Assistant | 10 George St, Oswego, NY 13126-3276 | 2007-03-21 |
1144320862 | Alexander James Brown | Physician Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2006-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
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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.