KATHY LYNN HERREN (NPI# 1154312593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154312593 |
| Entity Type | Individual |
| Full Name | KATHY LYNN HERREN |
| Other Name | KATHY LYNN MAZUR - HERREN |
| Credential | PA |
| Practice Address |
377 Church St Saratoga Springs NY 12866 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5185844456 |
| Mailing Telephone | 5185255634 |
| Mailing Fax Number | 5186494094 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004509 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02352454 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 135 North Road, Wilton Family Medicine, Wilton, NY 12831 | 5189261935 | 5189264804 |
| 27 Hyland Drive, Stuart M Townsend Middle School, Lake Luzerne, NY 12846 | 5186962337 | 5186962160 |
| 377 Church St, Saratoga Springs, NY 128668641 | 5185844456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740337237 | Kathy A Herren | Physician Assistant | 3412 Office Park Drive, Marion, IL 62959 | 2007-01-05 |
| Street Address |
377 CHURCH ST |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285087320 | Rosann J Wilcox | Nurse Practitioner | 377 Church St, Saratoga Springs, NY 12866 | 2016-07-13 |
| 1326494691 | St. Peter's Health Partners Medical Associates, P.C. | Registered Nurse | 377 Church St, Saratoga Springs, NY 12866-8641 | 2016-05-05 |
| 1124327341 | Capital Area Plastic Surgery, Pllc | Specialist | 377 Church St, Saratoga Springs, NY 12866-8641 | 2011-03-28 |
| 1962723122 | Certified Plastic Surgery of New York, Pllc | Plastic Surgery | 377 Church St, Saratoga Springs, NY 12866-8641 | 2010-06-22 |
| 1164653085 | Naima Anwer | Family Medicine | 377 Church St, Saratoga Springs, NY 12866-8641 | 2009-07-28 |
| 1427077429 | Harry D Lindman Jr. | Family Medicine | 377 Church St, Saratoga Springs, NY 12866-8641 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
| 1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
| 1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
| 1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
| 1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
| 1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
| 1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
| Find all providers in zip 12866 | ||||
| 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 |
|---|---|---|---|---|
| 1699320770 | Donald Jason Willows | Physician Assistant | 3048 S Red Pine Dr, Saratoga Springs, UT 84045-4818 | 2019-08-06 |
| 1467969162 | Eliza Michele Miller | Physician Assistant | 354 Ut-73, Saratoga Springs, UT 84045 | 2018-01-03 |
| 1932616695 | Kevin James Crockett | Physician Assistant | 30 E Hunters Hvn, Saratoga Springs, UT 84045-8169 | 2018-01-03 |
| 1679026876 | Mara Petruccione | Physician Assistant | 21 Bradford Dr, Saratoga Springs, NY 12866-8569 | 2016-07-25 |
| 1730563388 | Ashley Ray | Physician Assistant | 5 Care Ln Ste 100, Saratoga Springs, NY 12866-8623 | 2015-07-14 |
| 1750698858 | Erica Meyers-standley | Physician Assistant | 1 West Ave Ste 300, Saratoga Springs, NY 12866-6050 | 2010-09-10 |
| 1508972654 | Norman Bovee | Physician Assistant | 59 Myrtle St Ste 300, Saratoga Springs, NY 12866-1044 | 2006-08-22 |
| 1841215464 | Kimberly S Mills | Physician Assistant | 414 Maple Ave Ste 300, Saratoga Springs, NY 12866-5533 | 2006-07-13 |
| 1649279555 | Paul David Clarke | Physician Assistant | 401 Geyser Rd, Saratoga Springs, NY 12866-9069 | 2005-07-21 |
| 1114921608 | Antoinette Moran | Physician Assistant | 3044 Route 50, Saratoga Springs, NY 12866-2906 | 2005-06-13 |
| Find all providers in SARATOGA SPRINGS | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
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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.