NICHOLE RENEE LA MARQUE (NPI# 1255802567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255802567 |
| Entity Type | Individual |
| Full Name | NICHOLE RENEE LA MARQUE |
| Credential | PA |
| Practice Address |
1783 Route 9 Ste 202 Halfmoon NY 12065 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183832366 |
| Practice Fax Number | 5183836022 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2018-12-13 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023055 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Sitterly Rd, Halfmoon, NY 120655612 | 5182431916 | |
| 1101 Nott St, Schenectady, NY 123082489 | 5182431916 | 5182431853 |
| Street Address |
1783 ROUTE 9 STE 202 |
| City | HALFMOON |
| State | NY |
| Zip Code | 12065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396007597 | Veronica Cieszynski | Nurse Practitioner | 1783 Route 9 Ste 202, Halfmoon, NY 12065-2466 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| 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 |
|---|---|---|---|---|
| 1104887884 | Michael Francis O'brien | Physician Assistant | 103 Sitterly Rd Ste 2300, Halfmoon, NY 12065 | 2006-03-31 |
| 1245744358 | Rena Lefkowitz | Physician Assistant | 1673 Route 9, Halfmoon, NY 12065-4399 | 2017-11-28 |
| 1538617030 | Samantha Marie Testa | Physician Assistant | 1783 Route 9, Suite #102, Halfmoon, NY 12065-2409 | 2016-09-14 |
| 1316491418 | Laura Bolan | Physician Assistant | 1783 Route 9 Ste 102, Halfmoon, NY 12065-2467 | 2016-08-08 |
| 1538424361 | Kathleen Garbarino Bennett | Physician Assistant | 1783 Route 9, Suite 101, Halfmoon, NY 12065-2409 | 2012-07-09 |
| 1750477725 | Steven David Hicks | Physician Assistant | 1783 Route 9, Suite 101, Halfmoon, NY 12065-2409 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.