PETER J COLLIGAN (NPI# 1235799768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235799768 |
| Entity Type | Individual |
| Full Name | PETER J COLLIGAN |
| Credential | PA |
| Practice Address |
301 Prospect Ave Syracuse NY 13203-1807 |
| Practice Telephone | 3157712159 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
023111 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 N Lowell Ave, Syracuse, NY 132042013 | 3157712159 |
| Street Address |
301 PROSPECT AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143155 | Joel M Rosenberg | Surgery | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2005-06-09 |
| 1295332641 | Lindsey Bippus | Nurse Anesthetist, Certified Registered | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-10-07 |
| 1811503709 | Arianna Marie Sposato | Registered Nurse | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-09-16 |
| 1861018780 | Kristen Ranallo | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-17 |
| 1871117184 | Joseph Meluni | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1962026286 | George Jiao | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1427672807 | Lauren Macshane | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1225652605 | Robert Magee | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1992329361 | Neil Javed | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1134743594 | Lyndsay Christensen | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1851586986 | Alyssa C Miles | Physician Assistant | 1304 Buckley Rd Ste 200, Nephrology Associates of Syracuse, PC, Syracuse, NY 13212-4317 | 2007-09-11 |
| 1730710690 | Danielle Burke | Physician Assistant | 104 Union Ave Ste 809, Syracuse, NY 13203-1843 | 2020-01-30 |
| 1992278584 | Philip Macleod | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-01-07 |
| 1578038832 | Kathryn Ann Landon | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2018-10-12 |
| 1043795735 | Dianne Marie Vitkus | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1899 | 2018-09-27 |
| 1215419775 | Brianna Fedorich | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1690 | 2018-08-31 |
| 1790204535 | Matthew Sherwood | Physician Assistant | 736 Irving Ave, Syracuse, NY 13210-1687 | 2017-09-13 |
| 1881110245 | Gregory Thomas Pier | Physician Assistant | 739 Irving Ave Ste 600, Syracuse, NY 13210-1663 | 2017-08-17 |
| 1275081119 | Rajendra Shrestha | Physician Assistant | 104 Union Ave Ste 809, Syracuse, NY 13203-1843 | 2016-09-20 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on PETER J COLLIGAN.
| 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.