MARA ELIZABETH SCHROEDER (NPI# 1104483858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104483858 |
| Entity Type | Individual |
| Full Name | MARA ELIZABETH SCHROEDER |
| Credential | PA-C |
| Practice Address |
2 Coulter Rd Clifton Springs NY 14432 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 3154621530 |
| Practice Fax Number | 3154625483 |
| Mailing Telephone | 3154621530 |
| Mailing Fax Number | 3154625483 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
023848 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30680 Bainbridge Rd, Cleveland, OH 441392282 | 4194205919 | |
| 224 Alexander St Ste 200, Rochester, NY 146074000 | 5859228400 | 5859228405 |
| Street Address |
2 COULTER RD |
| City | CLIFTON SPRINGS |
| State | NY |
| Zip Code | 14432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376531590 | Ileana Hernandez | Internal Medicine | 2 Coulter Rd, Clifton Springs, NY 14432 | 2005-10-11 |
| 1033726377 | Maribeth Faith Gee | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2020-09-30 |
| 1679110050 | Adm Williamson | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-12-05 |
| 1457998924 | Suzanne Clements | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-12-04 |
| 1427699891 | Angela M Burd | Social Worker | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-10-07 |
| 1275183774 | Kelly Ann Maloney | Physical Therapist | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-09-17 |
| 1215580337 | Leah Brown | Student in an Organized Health Care Education/Training Program | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-07-17 |
| 1497314652 | Clifton Springs Sanitarium Co | Pharmacy | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-06-11 |
| 1528625530 | Susan Orego | Registered Nurse | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2019-05-24 |
| 1215405436 | Erin Anne Dingman | Physician Assistant | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035259 | David Roemer | Psychiatry & Neurology | 28 E Main Street, Clifton Springs, NY 14432 | 2013-12-11 |
| 1477821122 | Margaret Lewis Carlson | Registered Nurse | 1510 Rt 488, Clifton Springs, NY 14432 | 2011-12-09 |
| 1063698769 | Debra J Gates | Nurse Practitioner | Rrhs Clifton Springs Hospital and Clinic - Endocrine, 2 Coulter Rd, Clifton Springs, NY 14432 | 2008-01-14 |
| 1154457042 | Elaine M. Allen | Massage Therapist | 31 Pleasant Street, Clifton Springs, NY 14432 | 2007-02-26 |
| 1568514271 | Tracy Ford | Physical Therapist | 440 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2007-01-16 |
| 1265482400 | Lynn M Sievert | Internal Medicine | 6 Ambulance Drive, Clifton Springs, NY 14432 | 2006-05-10 |
| 1366434011 | Finger Lakes Area Counseling and Recovery Agency, Inc. | Clinic/Center | 28 E Main St, Clifton Springs, NY 14432 | 2005-08-18 |
| 1972024602 | Andrea L Nichols | Specialist/Technologist, Other | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-07-03 |
| 1538689435 | Leigh Battin | Case Manager/Care Coordinator | 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2017-06-21 |
| 1568883973 | Elizabeth Russo | Registered Nurse | 71 Kendall St, Clifton Springs, NY 14432 | 2014-01-02 |
| Find all providers in zip 14432 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405436 | Erin Anne Dingman | Physician Assistant | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2018-11-06 |
| 1518212752 | Jennifer Coleman | Physician Assistant | 2 Coulter Rd, Clifton Springs, NY 14432-1122 | 2012-07-13 |
| 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 | ||||
| City | CLIFTON SPRINGS |
| Zip Code | 14432 |
Please comment or provide details below to improve the information on MARA ELIZABETH SCHROEDER.
| 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.