SUSAN MEDINA (NPI# 1306388244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306388244 |
| Entity Type | Individual |
| Full Name | SUSAN MEDINA |
| Credential | RDH |
| Practice Address |
1062 State Rt 38 Suite 120 Owego NY 13827 |
| Mailing Address |
Po Box 120 1062 State Rt 38 Owego NY 13827 |
| Practice Telephone | 6076878595 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 022904 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184899379 | Susan Medina | Rehabilitation Practitioner | 160 S 7th Ave, La Puente, CA 91746-3211 | 2008-04-28 |
| Street Address |
1062 STATE RT 38 SUITE 120 |
| City | OWEGO |
| State | NY |
| Zip Code | 13827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390451 | Michele Smith Morey | Licensed Practical Nurse | 4476 Rt38, Owego, NY 13827 | 2018-09-21 |
| 1811487259 | Kaitlin Osborne | Specialist/Technologist | 1 Sheldon Guile Blvd, Owego, NY 13827 | 2018-05-11 |
| 1063775476 | Kimberly Anne Derouchie | Early Intervention Provider Agency | 1062 Rt. 38, Owego, NY 13827 | 2012-06-20 |
| 1992020713 | Christy Bianconi | Social Worker | 819 S. Salina St., Syracuse, NY 13827 | 2010-04-05 |
| 1578793543 | Donna Marie Delvecchio | Pharmacist | 39 Park Avenue, Owego, NY 13827 | 2009-07-23 |
| 1689827875 | Jennifer Iglthaler | Occupational Therapist | 1695 Glen Allen Road, Owego, NY 13827 | 2008-10-31 |
| 1104079698 | Mary N. Gilfoyle | Speech-Language Pathologist | 1 Christa Mcauliffe Drive, Owego, NY 13827 | 2008-10-28 |
| 1710026042 | Delos Christian Aumock | Dentist | 230 Front St, Owego, NY 13827 | 2007-02-05 |
| 1043357957 | Anthony Owens | Counselor | 8 Lincolnshire Blvd, Owego, NY 13827 | 2007-01-31 |
| 1669535563 | Bryan D Hathaway | Physical Medicine & Rehabilitation | 115 Hickories Park Road, Onego, NY 13827 | 2006-12-19 |
| Find all providers in zip 13827 | ||||
| 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 |
|---|---|---|---|---|
| 1538767280 | Saray A Guzman-pernett | Dental Hygienist | 370 Lexington Ave Fl 26, New York, NY 10017-6573 | 2020-10-14 |
| 1508464389 | Teah Lee Griffith | Dental Hygienist | 1182 County Route 24, Gouverneur, NY 13642-3330 | 2020-10-13 |
| 1629675574 | Sheila M Marsh | Dental Hygienist | 37 Boynton Ave Ste 2, Plattsburgh, NY 12901-1268 | 2020-10-05 |
| 1558978478 | Natalia Itxel Plaza | Dental Hygienist | 223 22nd St Fl 1, Brooklyn, NY 11232-1303 | 2020-09-24 |
| 1386250108 | Maxine Mills | Dental Hygienist | 71 Maler Ln, Patchogue, NY 11772-3558 | 2020-09-17 |
| 1780295592 | Samantha Leggiadro | Dental Hygienist | 606 Hosta Cir, Webster, NY 14580-4066 | 2020-08-14 |
| 1609487438 | Taylor Emily Bonno | Dental Hygienist | 15324 Lovers Ln, Clayton, NY 13624-3110 | 2020-08-14 |
| 1407466071 | Ellen Norma Denise Gill | Dental Hygienist | 41277 County Route 15, Theresa, NY 13691-2028 | 2020-08-07 |
| 1619595709 | Marialys Fernandez | Dental Hygienist | 25 W 18th St Fl 4, New York, NY 10011-4676 | 2020-07-06 |
| 1285271775 | Elizabeth Marie Dooher-anthony | Dental Hygienist | 490 Falstaff Rd, Rochester, NY 14609-5551 | 2019-12-04 |
| 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.