MRS. VIRGINIA MARIE DEROUCHIE (NPI# 1265558282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265558282 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA MARIE DEROUCHIE |
| Credential | RDH |
| Practice Address |
4 Commerce Lane Canton NY 13617-3739 |
| Practice Telephone | 3153868191 |
| Mailing Telephone | 3153868191 |
| Mailing Fax Number | 3153861410 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 014695 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01995615 | 05 |
| Street Address |
4 COMMERCE LANE |
| City | CANTON |
| State | NY |
| Zip Code | 13617-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618084 | Muhammad U Saleem | Psychiatry & Neurology | 4 Commerce Lane, Canton, NY 13617-3739 | 2005-09-07 |
| 1881948966 | Shannon Marie Mayette | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617-3739 | 2012-10-29 |
| 1477806693 | Danielle E Poste | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2012-10-25 |
| 1871843193 | Christine R Thrasher | Nurse Practitioner | 4 Commerce Lane, Canton, NY 13617 | 2012-09-13 |
| 1750669958 | Kimberly Elizabeth Murray | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617-3739 | 2011-07-22 |
| 1861703266 | Michael Joseph Herzog | Social Worker | 4 Commerce Lane, Canton, NY 13617-3739 | 2010-06-30 |
| 1568785228 | Judith Ann Chase | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2010-03-10 |
| 1598904195 | Julie W Catling | Social Worker | 4 Commerce Lane, Canton, NY 13617-3739 | 2009-02-05 |
| 1831344704 | United Cerebral Palsy Assoc of The North Country Inc | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2008-11-19 |
| 1104072388 | Jesse J Kibert | Physician Assistant | 4 Commerce Lane, Canton, NY 13617-3739 | 2008-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316310758 | April Best | Dental Hygienist | 40481 Glen Eagle Ln, Canton, MI 48188-2252 | 2015-11-06 |
| 1629324157 | Kerri A Keleher | Dental Hygienist | 31 Fairview Rd, Canton, MA 02021-1733 | 2012-08-02 |
| 1952556789 | Joanne M Wellings | Dental Hygienist | 80 State Hiighway 310, Suite #2, Canton, NY 13617 | 2008-11-20 |
| 1326503988 | Abby K Philbrick | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2019-02-07 |
| 1528596103 | Shannon Leclair | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-26 |
| 1255868998 | Jill Guiles | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-12 |
| 1902209307 | Alison Giammarco | Dental Hygienist | 420 Market Ave N, Canton, OH 44702-1544 | 2014-09-30 |
| 1376946772 | Anna Mayle | Dental Hygienist | 420 Market Ave N, Canton, OH 44702-1544 | 2014-09-30 |
| 1720410194 | Michelle A Nesbitt | Dental Hygienist | 2725 Lincoln St E, Canton, OH 44707-2769 | 2013-08-07 |
| 1316287378 | Keri E. Caracciolo | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2013-02-27 |
| Find all providers in CANTON | ||||
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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.