COLETTE RAJNER (NPI# 1144411596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144411596 |
| Entity Type | Individual |
| Full Name | COLETTE RAJNER |
| Practice Address |
11050 Mount Belvedere Boulevard Fort Drum NY 13602-5004 |
| Mailing Address |
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438 |
| Practice Telephone | 3157729292 |
| Mailing Telephone | 3157729292 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 42753 | KY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | R1579 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100051470 | 05 |
| Street Address |
11050 MOUNT BELVEDERE BOULEVARD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801316096 | Collin Mark Schultz | General Practice | 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602-5004 | 2017-06-20 |
| 1730518309 | Joseph Steele | Physician Assistant | 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602 | 2013-11-05 |
| 1487960332 | Peter Saulius Armanas | Psychiatry & Neurology | 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602 | 2010-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999425 | Adam Stone Gardner | Family Medicine | Usameddac 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5004 | 2017-01-27 |
| 1992795686 | Dennis M Sullivan | Family Medicine | Ctmc, Us Army Meddac, Fort Drum, NY 13602 | 2005-10-25 |
| 1821088634 | Edward Hutchins Bailey | Family Medicine | P-10506 Second Street, Fort Drum, NY 13602 | 2005-10-24 |
| 1851817407 | Jorden Daniel Pope | Family Medicine | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2017-08-16 |
| 1912434903 | Justin Stewart | Family Medicine | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2017-05-22 |
| 1023561107 | Isaac P Mills | Family Medicine | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2016-07-26 |
| 1356791537 | Jordan Joseph Gass | Family Medicine | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2016-06-17 |
| 1447665732 | Richard Zachary Haney | Family Medicine | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2014-06-25 |
| 1366853863 | Stephen Robert Vogel | Family Medicine | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2014-05-19 |
| 1558701250 | Gregory Wallace | Family Medicine | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2013-06-27 |
| Find all providers in FORT DRUM | ||||
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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.