ADRIA ERIN NEWBERRY (NPI# 1164706537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164706537 |
| Entity Type | Individual |
| Full Name | ADRIA ERIN NEWBERRY |
| Credential | PA-C |
| Practice Address |
25 Willowbrook Road Suite 2 Queensbury NY 12804 |
| Practice Telephone | 5187939156 |
| Practice Fax Number | 5187936591 |
| Mailing Telephone | 5187939156 |
| Mailing Fax Number | 5187936591 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 23 015185 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03754001 | 05 |
| Street Address |
25 WILLOWBROOK ROAD SUITE 2 |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205880762 | Andrea L Skillman | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804-0000 | 2006-05-20 |
| 1487080495 | Laura Gosnell | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2013-09-23 |
| 1326202177 | Adam Brod | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2008-07-10 |
| 1083784854 | Douglas P Kirkpatrick | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-09 |
| 1700956570 | Richard A Saunders | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-09 |
| 1922177294 | James G Todt | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-08 |
| 1942379227 | Patrick F Mcdermott | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-08 |
| 1144302217 | North Country Sports Medicine Pllc | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-10-19 |
| 1922032382 | Jameel Ali | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| 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 |
|---|---|---|---|---|
| 1205880762 | Andrea L Skillman | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804-0000 | 2006-05-20 |
| 1245856160 | Victoria Hankinson | Physician Assistant | 17 Main St, Queensbury, NY 12804-4007 | 2020-06-17 |
| 1558926667 | Melissa A Roff | Physician Assistant | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804 | 2019-05-03 |
| 1760858534 | Tara Manny | Physician Assistant | 25 Willowbrook Rd Ste 2, Queensbury, NY 12804-3137 | 2015-08-17 |
| 1487080495 | Laura Gosnell | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2013-09-23 |
| 1720410046 | Lauren E Gush | Physician Assistant | 161 Carey Rd, Queensbury, NY 12804-7821 | 2013-08-09 |
| 1346526183 | Daniel J Janssen | Physician Assistant | 9 Carey Rd, Queensbury, NY 12804-7880 | 2011-10-25 |
| 1417243064 | Patricia A Stevenson | Physician Assistant | 161 Carey Rd, Queensbury, NY 12804-7821 | 2011-06-22 |
| 1831481274 | Jennifer Wright | Physician Assistant | 543 Bay Rd, Queensbury, NY 12804-1441 | 2011-05-04 |
| 1194951905 | Mark R Vandien | Physician Assistant | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2009-06-08 |
| Find all providers in QUEENSBURY | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on ADRIA ERIN NEWBERRY.
| 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.