MRS. TARA MICHELLE NIEDZIALKOWSKI (NPI# 1215216551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215216551 |
Entity Type | Individual |
Full Name | MRS. TARA MICHELLE NIEDZIALKOWSKI |
Credential | PA |
Practice Address |
55 Calvary Dr Norwich NY 13815-1032 |
Mailing Address |
43 Cleveland Ave Apartment #2 Binghamton NY 13905-3221 |
Practice Telephone | 6073366362 |
Mailing Telephone | 6077594832 |
Enumeration Date | 2011-08-04 |
Last Update Date | 2012-01-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
55 CALVARY DR |
City | NORWICH |
State | NY |
Zip Code | 13815-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104883727 | Thomas R Holmes | Family Medicine | 55 Calvary Dr, Norwich, NY 13815-1032 | 2006-04-27 |
1477100212 | Mary Imogene Bassett Hospital | Clinic/Center | 55 Calvary Dr, Norwich, NY 13815-1032 | 2019-08-26 |
1255987277 | Emily Hodack | Registered Nurse | 55 Calvary Dr, Norwich, NY 13815-1032 | 2019-08-15 |
1730741737 | Trevor G Tompkins | Nurse Practitioner | 55 Calvary Dr, Norwich, NY 13815-1032 | 2019-07-01 |
1285290460 | Daniel Babcock | Nurse Practitioner | 55 Calvary Dr, Norwich, NY 13815-1032 | 2019-05-14 |
1154842201 | Laura Ann Everett | Nurse Practitioner | 55 Calvary Dr, Norwich, NY 13815-1032 | 2017-06-29 |
1871944561 | Pamela Gilbert | Nurse Practitioner | 55 Calvary Dr, Norwich, NY 13815-1032 | 2016-06-24 |
1659784189 | Hannah Doscher | Registered Nurse | 55 Calvary Dr, Norwich, NY 13815-1032 | 2014-06-02 |
1447678321 | Elisa Louise Scott | Nurse Practitioner | 55 Calvary Dr, Norwich, NY 13815-1032 | 2014-03-28 |
1811320625 | Mary E Strong | Nurse Practitioner | 55 Calvary Dr, Norwich, NY 13815-1032 | 2013-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497304752 | Amanda Butler | Social Worker | Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 | 2019-09-10 |
1235793548 | Kay Marie Drebert | Social Worker | Chenango County Community Mental Hygiene Services - Cou, Suite 42, Norwich, NY 13815 | 2019-04-23 |
1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
1801387543 | Heather Rae Kolb | Social Worker | 5 Court St. Suite 42, Noriwch, NY 13815 | 2018-05-29 |
1386162006 | Courtney Jean Brown | Licensed Practical Nurse | 131 Railroad Ave, Norwich, NY 13815 | 2017-09-01 |
1891225827 | Fanny Sacks | Chiropractor | 4939 State Hwy 23, Norwich, NY 13815 | 2017-06-13 |
1558817916 | Erika J Rossi | Nurse Practitioner | 55 Calvary Drive, Norwich, NY 13815 | 2016-08-26 |
1013367341 | Irina Gordeyeva | Social Worker | 5 Court Street Suite 42, Chenango County Behavioral Health Services, Norwich, NY 13815 | 2016-06-17 |
1104287390 | Amanda Leigh Scott | Massage Therapist | 409 County Rd 33, Norwich, NY 13815 | 2016-03-15 |
1962886119 | Abigail Goings | Speech-Language Pathologist | 54 Borden Ave, C 38, Norwich, NY 13815 | 2015-07-17 |
Find all providers in zip 13815 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134114770 | Gerald W Doherty | Physician Assistant | 79 Kerwin Hill Rd, Norwich, VT 05055-9475 | 2005-09-20 |
1669031563 | Jaclyn Rose Neveu | Physician Assistant | 164 Otrobando Ave, Norwich, CT 06360-2116 | 2019-06-13 |
1760790612 | Leslie N Brown | Physician Assistant | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 | 2010-09-14 |
1003047481 | Melody Mukon | Physician Assistant | 330 Washington St, Suite 220, Norwich, CT 06360-2700 | 2009-08-03 |
1124274378 | Kelly Jean Way | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2008-08-07 |
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 |
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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.