ANGELA K DRAKE (NPI# 1083988661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083988661 |
| Entity Type | Individual |
| Full Name | ANGELA K DRAKE |
| Credential | PA |
| Practice Address |
1138 Broadway St Elmira NY 14904-2502 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 6077342695 |
| Practice Fax Number | 6077342917 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2016-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 015342 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
015342 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03436766 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932461605 | Angela Drake | Registered Nurse | 1006 N Pelham St, Alexandria, VA 22304-1906 | 2012-06-08 |
| 1912347659 | Angela Christine Drake | Nurse Practitioner | 7326 S Staples St, Corpus Christi, TX 78413-5509 | 2013-06-26 |
| 1942445200 | Angela Rose Drake | Anesthesiology | 800 Rose Street, University of Kentucky - Department of Anesthesiology, Lexington, KY 40536-0293 | 2008-12-15 |
| 1306021829 | Angela Drake | Case Manager/Care Coordinator | 13201 San Pablo Ave, Suite 105, San Pablo, CA 94806-3952 | 2008-01-03 |
| 1336112663 | Angela Irene Drake | Clinical Neuropsychologist | 34730 Bob Wilson Dr, Neurosciences Department Dvbic Naval Medical Center, San Diego, CA 92134-3201 | 2006-02-08 |
| Street Address |
1138 BROADWAY ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14904-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548290729 | Subramaniam Sadhasivam | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2006-07-04 |
| 1568843720 | Rebecca Ciotti | Nurse Practitioner | 1138 Broadway St, Elmira, NY 14904-2502 | 2015-06-14 |
| 1043524879 | Patricia Ann Dodge | Physician Assistant | 1138 Broadway St, Elmira, NY 14904-2502 | 2010-08-04 |
| 1457506867 | Basem Nady Azab | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2008-11-26 |
| 1780894113 | Carlos Gabriel Martinez | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2007-05-23 |
| 1164642096 | Georgios Hatzoudis | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2007-04-25 |
| 1922014976 | Timothy Norman Baxter | Family Medicine | 1138 Broadway St, Elmira, NY 14904-2502 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150987 | Amanda Denicola | Physician Assistant | 138 Broadway Street, Elmira, NY 14904 | 2018-10-16 |
| 1649501743 | Rose Marie Horch | Licensed Practical Nurse | 1198 Maple Ave., C-7, Elmira, NY 14904 | 2010-01-29 |
| 1831164987 | Richard B Dunn | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-02-22 |
| 1407358989 | Sara Goodwin | Counselor | 310 Pennsylvania Ave, Elmira, NY 14904 | 2018-03-01 |
| 1841378965 | Richard B Dunn Dds PC | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1649358771 | Prakash Thuraisamy | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1861591109 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 209 Mount Zoar Street, Elmira, NY 14904-1231 | 2006-09-22 |
| 1760963557 | Caleb Mccaig | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2018-08-28 |
| 1497936157 | Mary Volino | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-21 |
| Find all providers in zip 14904 | ||||
| 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 |
|---|---|---|---|---|
| 1780150987 | Amanda Denicola | Physician Assistant | 138 Broadway Street, Elmira, NY 14904 | 2018-10-16 |
| 1942720891 | Erica Lynne Angelino | Physician Assistant | 600 Fitch St Ste 102, Elmira, NY 14905-1634 | 2017-06-21 |
| 1902907892 | Samuel J Russell | Physician Assistant | 555 Saint Josephs Blvd Ste M2, Elmira, NY 14901-3223 | 2006-09-26 |
| 1366540387 | Denis Charles Kingsley | Physician Assistant | 447 East Water Street, Elmira, NY 14901-3410 | 2006-09-21 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1386119519 | Alison R Eason | Physician Assistant | 200 Madison Ave Ste 2d, Elmira, NY 14901-3219 | 2018-10-03 |
| 1235589037 | Morgan John Conwell | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2016-06-13 |
| 1306202023 | Emily E. Martinez | Physician Assistant | 2572 N Us Highway 131, Elmira, MI 49730-8252 | 2016-01-11 |
| 1831579028 | Jacob Holmwood | Physician Assistant | 600 Ivy St, Ste 201, Elmira, NY 14905-1627 | 2015-06-03 |
| 1093145880 | Danielle Soya | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2013-11-15 |
| Find all providers in ELMIRA | ||||
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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.