MARIE-JEANNE DESRAVINES (NPI# 1285741199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285741199 |
| Entity Type | Individual |
| Full Name | MARIE-JEANNE DESRAVINES |
| Credential | M.D. |
| Practice Address |
522 S 4th St Suite 500 Fulton NY 13069-2946 |
| Mailing Address |
239 Oneida St Fulton NY 13069-1228 |
| Practice Telephone | 3155984740 |
| Practice Fax Number | 3155984719 |
| Mailing Telephone | 3155984715 |
| Mailing Fax Number | 3155984733 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 221962 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
522 S 4TH ST SUITE 500 |
| City | FULTON |
| State | NY |
| Zip Code | 13069-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687392 | Zaeem Ansari | Internal Medicine | 522 S 4th St, Suite 1500, Fulton, NY 13069-2946 | 2005-05-27 |
| 1891257630 | Tyanna Bergeron | Nurse Practitioner | 522 S 4th St, Fulton, NY 13069-2946 | 2019-04-02 |
| 1992259451 | Meaghan Primm | Family Medicine | 522 S 4th St, Fulton, NY 13069-2946 | 2016-08-12 |
| 1457629453 | Jayakumar Thotambilu, Physician, P.C. | Specialist | 522 S 4th St, Suite 1300, Fulton, NY 13069-2946 | 2011-12-05 |
| 1447553672 | Rosemarie Lanza Surowiec | Physician Assistant | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2010-12-09 |
| 1972830511 | Heidi M Czajkowski | Physician Assistant | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2009-11-03 |
| 1578638573 | Hasan Zakariyya | Specialist | 522 S 4th St, Suite 1400, Fulton, NY 13069-2946 | 2006-11-22 |
| 1437247749 | M Zaeem Ansari, M.d., P.C. | Internal Medicine | 522 S 4th St, Suite 1500, Fulton, NY 13069-2946 | 2006-10-11 |
| 1346358082 | Kylie M. Lacey | Nurse Practitioner | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2006-08-25 |
| 1558479204 | Susan A. Krzyzak | Nurse Practitioner | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2006-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291454 | Awilda Vega Johnston | Counselor | 92 N. 2nd St., #100, Fulton, NY 13069 | 2020-03-23 |
| 1174169346 | Gabrielle Sunshine Chrestler | Technician | 2118 Co Rt 176, Fulton, NY 13069 | 2019-11-22 |
| 1558917310 | Renee Omsby | Technician | 1323 County Rte 9, Fullton, NY 13069 | 2019-08-16 |
| 1194208488 | Bridgette Lynn Godfrey | Registered Nurse | 167 South 4th Street, Fulton, NY 13069 | 2018-09-12 |
| 1205299195 | Nu-ops, Inc | Taxi | 107 West 4th St So, Fulton, NY 13069 | 2016-03-30 |
| 1770909061 | Siobhan Anne Walsh | Licensed Practical Nurse | 436 Rowlee Road, Fulton, NY 13069 | 2014-03-11 |
| 1982971743 | Jennifer Lynn Scaringi | Licensed Practical Nurse | 505 Seneca St, Fulton, NY 13069 | 2011-11-22 |
| 1215242680 | Meghan Kathleen Hill | Physical Therapist | 706 South 4th St, Fulton, NY 13069 | 2010-08-10 |
| 1659699064 | Daniel Petrescu | Physical Therapist | 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 | 2010-05-10 |
| 1528212842 | Robyn Elizabeth Mccann | Licensed Practical Nurse | 464 Red School House Road, Fulton, NY 13069 | 2008-11-13 |
| Find all providers in zip 13069 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536915 | Doctor K LLC | Family Medicine | 11603 Pindell Woods Dr, Fulton, MD 20759-9752 | 2018-01-27 |
| 1972027464 | Curators of The University of Missouri | Family Medicine | 2613 Fairway Dr Ste C, Fulton, MO 65251-3789 | 2017-07-27 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
| 1588045488 | Michael Miller | Family Medicine | 510 S 4th St Ste 600, Fulton, NY 13069-2904 | 2015-06-16 |
| 1114254190 | Woodlawn Hospital | Family Medicine | 100 E Dunn Street, Fulton, IN 49631 | 2009-11-11 |
| 1144388729 | Loretta Sutphin Stenzel | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2006-12-05 |
| 1265505598 | Fulton County Medical Clinic PC | Family Medicine | 100 East Dunn St, Fulton, IN 46931 | 2006-11-16 |
| 1174606941 | Michael George Howell | Family Medicine | 204 Wheeler Dr, Fulton, MS 38843-8900 | 2006-10-23 |
| 1255341491 | Richard Perez Doisy | Family Medicine | 600 E 5th Street, Fulton State Hospital, Fulton, MO 65251 | 2006-08-09 |
| Find all providers in FULTON | ||||
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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.