SUSAN SHAH (NPI# 1154655744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154655744 |
Entity Type | Individual |
Full Name | SUSAN SHAH |
Credential | NP |
Practice Address |
807 Union St Wicker Wellness Center Schenectady NY 12308-3103 |
Practice Telephone | 5183886794 |
Mailing Telephone | 5183886794 |
Enumeration Date | 2009-09-29 |
Last Update Date | 2013-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
F430450-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477621803 | Susan Lynn Shah | Occupational Therapist | 353 North Lyman St, Wadsworth, OH 44281-1801 | 2006-12-02 |
1306900568 | Susan R Shah | Pediatrics | 8054 Darrow Rd, Bldg D, Ste 3, Twinsburg, OH 44087-2381 | 2006-12-21 |
Street Address |
807 UNION ST WICKER WELLNESS CENTER |
City | SCHENECTADY |
State | NY |
Zip Code | 12308-3103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578774139 | Susan Lynn Manchester | Nurse Practitioner | 807 Union St, Silliman Hall, Schenectady, NY 12308-3103 | 2007-05-25 |
1144889676 | Brandon Perry | Specialist/Technologist | 807 Union St, Schenectady, NY 12308-3256 | 2019-06-08 |
1992073480 | Cheryl Lynne Rockwood | Specialist/Technologist | 807 Union St, Union College Department of Athletics, Schenectady, NY 12308 | 2011-12-12 |
1477757219 | Barbara Jean Lahey | Nurse Practitioner | 807 Union St, Silliman Hall 2nd Floor, Schenectady, NY 12308-3103 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295004125 | Mary C O'brien | Registered Nurse | 90 Elmer Ave, Schenectady, NY 12308 | 2011-12-21 |
1114203882 | Gina R Davenport | Speech-Language Pathologist | Zoller Elementary School, 1180 Lancaster Street, Schenectady, NY 12308 | 2011-10-26 |
1831472315 | Laura A Denofio | Social Worker | 1445 The Plaza, Schenectady, NY 12308 | 2011-09-21 |
1023328440 | Anthony G. Cortese | Social Worker | 1362 Union Street, Schenectady, NY 12308 | 2010-10-19 |
1205142288 | Jessica Lee Schoen | Pharmacist | 461 Nott Street, Schenectady, NY 12308 | 2010-08-27 |
1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
1316274194 | Helping Hands Nurse Staffing Services, LLC | Nursing Care | 2180 Avenue B, Schenectady, NY 12308 | 2009-11-16 |
1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
1891973459 | Anthony Joseph De Palma Sr. | Dentist | 1351 Union Street, Schenectady, NY 12308 | 2008-02-06 |
1447464029 | Lauren Weisberg Savage | Social Worker | 1411 Union Street, Schen, NY 12308 | 2007-05-10 |
Find all providers in zip 12308 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669884243 | Judy A Harris | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2014-05-29 |
1568885473 | Shanon Rose Kress | Nurse Practitioner | 2546 Balltown Rd, Schenectady, NY 12309-1079 | 2014-01-28 |
1285919084 | Danielle Simonson | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308-2143 | 2011-10-12 |
1043342819 | Kathleen B Bellizzi | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308-2116 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528669975 | Fereshta Azizy | Nurse Practitioner | 1806 Parsons Blvd, Whitestone, NY 11357-3042 | 2020-11-03 |
1598365579 | Emily Rose Fitzpatrick | Nurse Practitioner | 530 1st Ave # Hcc12, New York, NY 10016-6402 | 2020-10-28 |
1467069583 | Ma Teresa Justine V Balboa | Nurse Practitioner | 19 Low Ln, Levittown, NY 11756-4511 | 2020-09-24 |
1588270151 | Cynthia Li | Nurse Practitioner | 5312 80th St, Elmhurst, NY 11373-4732 | 2020-09-19 |
1356956312 | Maria Nagel | Nurse Practitioner | 350 E 30th St Apt 1b, New York, NY 10016-8307 | 2020-09-15 |
1699389817 | John Paul Talmadge Cagigas | Nurse Practitioner | 402 N Indiana Ave, Lindenhurst, NY 11757-3423 | 2020-09-04 |
1891308615 | Peter Marusca | Nurse Practitioner | 4610 61st St Apt 14a, Woodside, NY 11377-5731 | 2020-08-31 |
1760095269 | Elizabeth Meder Demas | Nurse Practitioner | 141 Ridge St Apt A, New York, NY 10002-1804 | 2020-08-25 |
1093328593 | Melissa Moulton | Nurse Practitioner | 204 E 77th St Apt 2d, New York, NY 10075-2107 | 2020-08-25 |
1942819636 | Ruby Judith Maloco Garzon | Nurse Practitioner | 222 Peters Ave, East Meadow, NY 11554-1525 | 2020-07-28 |
Find all providers with the same taxonomy |
City | SCHENECTADY |
Zip Code | 12308 |
Please comment or provide details below to improve the information on SUSAN SHAH.
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.