MRS. AMANDA SUE LOIS (NPI# 1083926802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083926802 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA SUE LOIS |
| Credential | PA-C |
| Practice Address |
700 E Brighton Ave Syracuse NY 13205-2201 |
| Practice Telephone | 6502940792 |
| Mailing Telephone | 6502940792 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018516 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04179062 | 05 |
| Street Address |
700 E BRIGHTON AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650873 | Loretto Health and Rehabilitation Center | Skilled Nursing Facility | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2005-09-22 |
| 1083263313 | Erica L Iannello | Occupational Therapist | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2019-09-09 |
| 1891272613 | Jada Cheyene Spiceland | Occupational Therapy Assistant | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2018-07-24 |
| 1376086504 | Carrie Meghan Raymond | Nurse Practitioner | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2016-11-20 |
| 1326596826 | Mary Joan Weinheimer | Nurse Practitioner | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2016-09-14 |
| 1225581523 | Loretto Health and Rehab | Skilled Nursing Facility | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2016-08-03 |
| 1437307766 | Loretto Health Support, LLC | Durable Medical Equipment & Medical Supplies | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2008-08-28 |
| 1275790818 | Loretto | Skilled Nursing Facility | 700 E Brighton Ave, Syracuse, NY 13205-2201 | 2008-05-21 |
| 1710168489 | Tina Elaine Lynch | Occupational Therapist | 700 E Brighton Ave, Syracuse, NY 13205 | 2007-11-21 |
| 1013198159 | Kelly Ann Lugert | Occupational Therapist | 700 E Brighton Ave, Syracuse, NY 13205 | 2007-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| 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 |
| 1760043574 | Colin Michael King | Physician Assistant | 135 Somerset Rd, Syracuse, NY 13224-1961 | 2019-06-24 |
| 1346657251 | Jessica Lynn Demauro | Physician Assistant | 111 Waverly Avenue, Syracuse, NY 13244 | 2014-07-14 |
| 1982664876 | Vincent M. Gemelli | Physician Assistant | 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 | 2006-03-24 |
| 1245210129 | Benjamin I Connor | Physician Assistant | 2700 Court St, Syracuse, NY 13208-3295 | 2006-01-18 |
| 1326020033 | Michelle Margaret Ederer | Physician Assistant | 3504 W Genesee St, Syracuse, NY 13219-2008 | 2005-11-17 |
| 1689672230 | Robert D Kirk | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-07-08 |
| 1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
| 1568022853 | Chelsea Clareann Yager | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-06-18 |
| 1104308253 | Diana Maria Ramirez | Physician Assistant | 750 E Adams St, Syracuse, NY 13210-2306 | 2018-09-05 |
| Find all providers in SYRACUSE | ||||
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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.