JULIE K STEELE-GOODWIN (NPI# 1063596906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063596906 |
| Entity Type | Individual |
| Full Name | JULIE K STEELE-GOODWIN |
| Credential | PA-C |
| Practice Address |
481 State Route 11 Champlain NY 12919-4819 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5182982691 |
| Practice Fax Number | 5182988241 |
| Mailing Telephone | (518) 761-0300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
011420 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02825730 | 05 |
| Street Address |
481 STATE ROUTE 11 |
| City | CHAMPLAIN |
| State | NY |
| Zip Code | 12919-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871889105 | Nicole Brianna Cerklewich | Family Medicine | 481 State Route 11, Champlain, NY 12919-4819 | 2011-06-24 |
| 1679725709 | Sarah L Howell | Nurse Practitioner | 481 State Route 11, Champlain, NY 12919-4819 | 2008-10-21 |
| 1073776795 | Candice Michelle Ciolac | Family Medicine | 481 State Route 11, Champlain, NY 12919-4819 | 2008-07-02 |
| 1477609691 | M Christine Prell | Social Worker | 481 State Route 11, Champlain, NY 12919-4819 | 2007-01-29 |
| 1396821609 | Alyson Blake Curry | Social Worker | 481 State Route 11, Champlain, NY 12919-4819 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144874603 | Tyler James King | Pharmacist | 887 Us-11, Champlain, NY 12919 | 2019-08-01 |
| 1851867782 | Courtney Elizabeth Shutts | Registered Nurse | 103 Rt 276, Champlain, NY 12919 | 2018-10-18 |
| 1659881555 | Kim Letourneau | Registered Nurse | 103 Route 276, Champlain, NY 12919 | 2017-10-05 |
| 1306157045 | John Boulton Southwick | Family Medicine | 76 Oak Street, Champlain, NY 12919 | 2010-06-28 |
| 1316262272 | Nganha Vo | Pharmacist | 868 Rt 11, Champlain, NY 12919 | 2010-04-05 |
| 1386976884 | Peter M Harrison | Pharmacist | 866 State Route 11, Champlain, NY 12919 | 2010-02-08 |
| 1881876670 | Carlinda Marie Hamilton | Pharmacist | 887 Route 11, Champlain, NY 12919 | 2007-12-04 |
| 1063493120 | William L Steinfeld | Dentist | 487 Route 11, Champlain, NY 12919 | 2005-11-07 |
| 1689661092 | Dorothea Burget Southwick | Physical Therapist | 34 Beeman Way, Champlain, NY 12919 | 2005-09-30 |
| 1104385368 | Christine O'brian | Pharmacist | 868 State Route 11, Champlain, NY 12919 | 2019-03-18 |
| Find all providers in zip 12919 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.