SIDNEY CAROL WALLIN (NPI# 1245854579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245854579 |
| Entity Type | Individual |
| Full Name | SIDNEY CAROL WALLIN |
| Credential | PA-C |
| Practice Address |
2094 Albany Post Road Montrose NY 10548 |
| Mailing Address |
1958 Peterson Rd Russell PA 16345-7040 |
| Mailing Telephone | 8146888394 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2094 Albany Post Rd, Montrose, NY 105481454 |
| Street Address |
2094 ALBANY POST ROAD |
| City | MONTROSE |
| State | NY |
| Zip Code | 10548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067248 | Jean Yock Jung | Optometrist | 2094 Albany Post Road, Va Hudson Valley Healthcare System Optometry Service, Montrose, NY 10548 | 2006-03-23 |
| 1962958793 | Amy Hahn | Recreation Therapist | 2094 Albany Post Road, Montrose, NY 10548 | 2016-08-31 |
| 1164890331 | Frances Gloria Schwartz | Dietitian, Registered | 2094 Albany Post Road, Hudson Valley Hcs, Montrose, NY 10548 | 2015-09-04 |
| 1013217223 | Maryann Elberth | Social Worker | 2094 Albany Post Road, B13, Rm 131, Montrose, NY 10548 | 2010-10-22 |
| 1356549927 | Karen Lee Wadhams | Student in an Organized Health Care Education/Training Program | 2094 Albany Post Road, Vha Hvhcs, Montrose, NY 10548 | 2007-07-05 |
| 1326197823 | Simon G Kassabian | Internal Medicine | 2094 Albany Post Road, Va Hudson Valley Health Care System, Montrose, NY 10548 | 2007-01-10 |
| 1366506529 | Lesa A Paulsen-cortes | Pharmacist | 2094 Albany Post Road, Visn 3 Pbm, Montrose, NY 10548 | 2006-12-21 |
| 1316009905 | Lisa A Tietchen | Social Worker | 2094 Albany Post Road, Suite 100, Montrose, NY 10548 | 2006-12-14 |
| 1124199708 | Pe Shein Wynn | Psychiatry & Neurology | 2094 Albany Post Road, Montrose, NY 10548 | 2006-11-13 |
| 1578575577 | Lisa Caraisco | Social Worker | 2094 Albany Post Road, Va Hudson Valley Health Care - Mental Health, Montrose, NY 10548-0100 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958249 | Patricia Cole | Recreation Therapist | 2049 Albany Post Road, Montrose, NY 10548 | 2016-08-28 |
| 1508260472 | Ann M. Constantine | Social Worker | 57 Trolley Road, Frank G. Lindsey School, Montrose, NY 10548 | 2014-10-21 |
| 1750784690 | Susan Burke | Speech-Language Pathologist | 61 Trolley Road, Hendrick Hudson School District, Montrose, NY 10548 | 2014-10-07 |
| 1033369400 | Geri Lynne Friedman | Counselor | 2125 Albany Post Road, Suite 204, Montrose, NY 10548 | 2008-09-23 |
| 1063660942 | Sebastian J Shaw | Counselor | 2095 Albany Post Rd, Montrose, NY 10548 | 2008-09-03 |
| 1104093657 | Mertha L Wright | Social Worker | 20 94 Albany Post Rd, B52 R137, Montrose, NY 10548 | 2008-05-14 |
| 1336357334 | Mi-hyon Cho | Physical Medicine & Rehabilitation | Montrose Campus, Va Hudson Valley Health Care System, Montrose, NY 10548 | 2007-05-21 |
| 1811062110 | Stuart N Landesberg | Chiropractor | 2144 Albany Post Road, Montrose, NY 10548 | 2006-11-21 |
| 1598855199 | Michael D Glassman | Pharmacist | 138 Albany Post Road, Montrose, NY 10548 | 2006-10-13 |
| 1447346507 | Jay Pomales | Psychologist | Va Hudson Valley Healthcare System Albany Post Road, Montrose, NY 10548 | 2006-10-05 |
| Find all providers in zip 10548 | ||||
| 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 |
|---|---|---|---|---|
| 1629515606 | Kirk Miller | Physician Assistant | 16985 N 2400th St, Montrose, IL 62445-5004 | 2017-01-27 |
| 1124344080 | Chris K Polsley | Physician Assistant | 836 S. Townsend, Suite A, Montrose, CO 81401 | 2010-04-15 |
| 1689891491 | Elizabeth Ashley Singleton | Physician Assistant | 836 S Townsend Ave Ste C, Montrose, CO 81401-4360 | 2007-04-20 |
| 1598786865 | Norman Lee Dockins | Physician Assistant | 1550 E. Niagara Road, Peak Family Medicine, Montrose, CO 81401-5027 | 2006-07-22 |
| 1902876246 | Marla D Beavers | Physician Assistant | 1563 Ogden Rd, Montrose, CO 81401-5683 | 2006-01-26 |
| 1306460076 | Theresa Marie Pickell | Physician Assistant | 190 E State St, Montrose, MI 48457-9144 | 2020-05-29 |
| 1356989768 | Tiffany Joy Bermudez | Physician Assistant | 1550 E Niagara Rd, Montrose, CO 81401-5027 | 2019-12-16 |
| 1467912089 | Greta Mae Hoffman | Physician Assistant | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-03-20 |
| 1881095297 | Kerri Ann Portanova | Physician Assistant | 100 Hospital Dr, Montrose, PA 18801-6402 | 2014-09-05 |
| 1831507805 | Integrated Dermatology of Montrose, LLC | Physician Assistant | 3480 Wolverine Dr, Suite F, Montrose, CO 81401-4965 | 2014-07-23 |
| Find all providers in MONTROSE | ||||
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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.