SANDRA A PIKE (NPI# 1255598868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255598868 |
| Entity Type | Individual |
| Full Name | SANDRA A PIKE |
| Credential | NP |
| Practice Address |
144 W 5th St Oswego NY 13126-2552 |
| Practice Telephone | 3153421765 |
| Practice Fax Number | 3153421742 |
| Mailing Telephone | 3153421765 |
| Mailing Fax Number | 3153421742 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2014-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F3353821 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | F3353821 | 01 |
| Street Address |
144 W 5TH ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154492296 | Renato Yap Mandanas | Internal Medicine | 144 W 5th St, Oswego, NY 13126-2552 | 2006-11-12 |
| 1851534465 | Alberto Saludes Del Pilar Jr. | Family Medicine | 144 W 5th St, Oswego, NY 13126-2552 | 2009-04-13 |
| 1235338625 | Renato Y. Mandanas, M.d. | Internal Medicine | 144 W 5th St, Oswego, NY 13126-2552 | 2007-07-16 |
| 1013061431 | Linda D Mandanas | Family Medicine | 144 W 5th St, Oswego, NY 13126-2552 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344093 | Yonia Roseline Ahyee | Nurse Practitioner | 325 Ash Grove Ln, Oswego, IL 60543-7501 | 2020-04-10 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1053825042 | Amanda Lynn Pochedly | Nurse Practitioner | 283 W 2nd St Ste 200, Oswego, NY 13126-3878 | 2017-11-29 |
| 1124400296 | Beverly Chartrand | Nurse Practitioner | 760 County Route 25, Oswego, NY 13126-5712 | 2015-06-24 |
| 1972879203 | Patricia Charlene Ridings | Nurse Practitioner | 805 Barker Drive, Oswego, KS 67356-9034 | 2012-03-30 |
| 1033347547 | Tricia R Vivlamore | Nurse Practitioner | 7060 State Route 104, Suny Oswego, Oswego, NY 13126-3501 | 2009-06-24 |
| 1780726513 | Mary Ann Perlman | Nurse Practitioner | 1 Rudolph Rd, Suny Oswego, Oswego, NY 13126 | 2007-02-12 |
| 1720160112 | Merry E Egan | Nurse Practitioner | Rudolph Road, Walker Health Ctr, Suny Oswego, Oswego, NY 13126 | 2006-10-19 |
| 1295825958 | Vera Z Arnold | Nurse Practitioner | 521 Truman Dr, Oswego, IL 60543-7421 | 2006-10-13 |
| 1669434569 | Suzanne Marie Naylor | Nurse Practitioner | 448 County Route 1a, Oswego, NY 13126 | 2006-04-05 |
| Find all providers in OSWEGO | ||||
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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.