BRADLY LANTZ (NPI# 1063988723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063988723 |
| Entity Type | Individual |
| Full Name | BRADLY LANTZ |
| Credential | PA |
| Practice Address |
4417 Vestal Pkwy E Vestal NY 13850-3556 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905 |
| Practice Telephone | 6077292144 |
| Practice Fax Number | 6077292145 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4417 VESTAL PKWY E |
| City | VESTAL |
| State | NY |
| Zip Code | 13850-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321529 | Dennis Perenyi | Obstetrics & Gynecology | 4417 Vestal Pkwy E, Ob/gyn, Vestal, NY 13850-3556 | 2005-07-28 |
| 1922606110 | Brittany Wingerter | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-10-12 |
| 1851903215 | Kwamia Sanford | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-08-18 |
| 1316571326 | Jamie Pastrick | Physical Therapist | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2020-02-28 |
| 1215595129 | Sarah Elizabeth Park | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-06-05 |
| 1275199416 | Diana Wobbe | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-05-14 |
| 1760945596 | Danielle Deyo | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-04-09 |
| 1801357447 | Michael Lane | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-03-27 |
| 1376011536 | Shelby Carver | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-11-06 |
| 1497221071 | Julia Munteanu | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018800 | Debbie Sue Maerz | Registered Nurse | Vestal Hills Elementary School, 709 Country Club Road, Vestal, NY 13850 | 2019-11-22 |
| 1770144511 | Janice Cecilia Forsberg | Registered Nurse | Clayton Avenue Elementary School, 209 Clayton Avenue, Vestal, NY 13850 | 2019-06-24 |
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1720503725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3701 Vestal Pkwy E Ste 4, Vestal, NY 13850 | 2017-08-10 |
| 1013368554 | Ying Fang Zhao | Nurse Practitioner | 404 Apine Drive, Vestal, NY 13850 | 2016-06-27 |
| 1689086308 | Jeff Farinella | Physical Therapist | 1715 Castle Gardes Road, Vestal, NY 13850 | 2014-05-29 |
| 1548689722 | Hamad Saleemi | Physical Medicine & Rehabilitation | 4433 Vestal Pkwy E Fl 1, Vestal, NY 13850 | 2014-04-15 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1316221393 | Sharyn Marie Fine | Occupational Therapist | 337 Jones Road, Vestal, NY 13850 | 2011-10-07 |
| 1144504218 | Catherine Ann Willis | Speech-Language Pathologist | 709 Country Club Rd, Vestal, NY 13850 | 2011-10-06 |
| Find all providers in zip 13850 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235580473 | Jennifer Lynn Hastings | Physician Assistant | 308 Edgewood Rd, Vestal, NY 13850-1204 | 2016-06-29 |
| 1225310808 | Jonathan David Brooks | Physician Assistant | 4407 Vestal Pkwy E, Vestal, NY 13850-3556 | 2011-09-09 |
| 1376179895 | Shannen Elizabeth Box | Physician Assistant | 200 Front St Ste C, Vestal, NY 13850-1559 | 2020-03-16 |
| 1215595129 | Sarah Elizabeth Park | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-06-05 |
| 1376011536 | Shelby Carver | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-11-06 |
| 1497221071 | Julia Munteanu | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-10-22 |
| 1184190027 | Cassie Erdmann | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-10-18 |
| 1811463912 | Daria Kacprzyk | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-10-17 |
| 1063996502 | Colleen Kramer | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-09-20 |
| 1851874549 | Kyle Pane | Physician Assistant | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2018-09-10 |
| Find all providers in VESTAL | ||||
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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.