MRS. MICHELLE MARGARET EDERER (NPI# 1326020033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326020033 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE MARGARET EDERER |
| Credential | B.A.,M.A., P.A.-C |
| Practice Address |
3504 W Genesee St Syracuse NY 13219-2008 |
| Mailing Address |
121 Jordan St Skaneateles NY 13152-1113 |
| Practice Telephone | 3153503305 |
| Mailing Telephone | 3153911281 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
006151 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02208226 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4882b North Jefferson St, Pulaski, NY 131424713 | 3152982768 |
| Street Address |
3504 W GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13219-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730660457 | Claire Marston Monnat | Physician Assistant | 3504 W Genesee St, Syracuse, NY 13219-2008 | 2018-08-22 |
| 1205259611 | Ny Urgent Care Practice, PC | Clinic/Center | 3504 W Genesee St, Ste 1b, Syracuse, NY 13219-2008 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| 1629549373 | Amy Elisabeth Steigerwald | Registered Nurse | 400 Walberta Rd., Syracuse, NY 13219 | 2018-12-06 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1699118893 | Christine Anne Marshall | Licensed Practical Nurse | 1604 West High Terrace, Syracuse, NY 13219 | 2013-04-08 |
| 1447596515 | Mary Lou Karrat | Social Worker | 4336 Fay Road, Syracuse, NY 13219 | 2012-12-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1053616904 | Ranz Consulting Goup | Preferred Provider Organization | 104 Watchower Ln, Syracuse, NY 13219 | 2011-01-24 |
| 1003123480 | Lisa Marie Searles | Occupational Therapist | 110 Elmtree Lane, Syracuse, NY 13219 | 2010-09-08 |
| Find all providers in zip 13219 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1760043574 | Colin Michael King | Physician Assistant | 135 Somerset Rd, Syracuse, NY 13224-1961 | 2019-06-24 |
| 1346657251 | Jessica Lynn Demauro | Physician Assistant | 111 Waverly Avenue, Syracuse, NY 13244 | 2014-07-14 |
| 1982664876 | Vincent M. Gemelli | Physician Assistant | 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 | 2006-03-24 |
| 1245210129 | Benjamin I Connor | Physician Assistant | 2700 Court St, Syracuse, NY 13208-3295 | 2006-01-18 |
| 1689672230 | Robert D Kirk | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-07-08 |
| 1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
| 1568022853 | Chelsea Clareann Yager | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-06-18 |
| 1104308253 | Diana Maria Ramirez | Physician Assistant | 750 E Adams St, Syracuse, NY 13210-2306 | 2018-09-05 |
| 1194207241 | Rebekah Schu | Physician Assistant | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2018-09-05 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on MRS. MICHELLE MARGARET EDERER.
| 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.