MR. STEPHEN C. BRENDESE (NPI# 1336202043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336202043 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN C. BRENDESE |
| Credential | M.P.A-C |
| Practice Address |
989 Route 146 Bldg 200 Clifton Park NY 12065-3646 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183830891 |
| Practice Fax Number | 5183831662 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1071318 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03455956 | 05 |
| Street Address |
989 ROUTE 146 BLDG 200 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982683413 | Heather Tarkos | Physical Therapist | 989 Route 146, Building 100, Clifton Park, NY 12065-3646 | 2006-01-12 |
| 1508422908 | Albany Medical College | Clinic/Center | 989 Route 146, Clifton Park, NY 12065-3646 | 2019-05-13 |
| 1447652995 | Courtney Strait | Physical Therapist | 989 Route 146, Clifton Park, NY 12065-3646 | 2014-09-16 |
| 1467765131 | Kelly Moran Chang | Physical Therapist | 989 Route 146, Clifton Park, NY 12065-3646 | 2010-07-22 |
| 1912051087 | Thomas Nicolla Consulting Services, Pllc | Specialist | 989 Route 146, Building 100, Clifton Park, NY 12065-3646 | 2007-01-23 |
| 1295885663 | Audiology Endeavors, PC | Audiologist-Hearing Aid Fitter | 989 Route 146, Bldg 300 Suite 302, Clifton Park, NY 12065-3646 | 2007-01-10 |
| 1568573244 | Susan B Winchester | Nurse Practitioner | 989 Route 146, Building 200, Clifton Park, NY 12065-3646 | 2006-08-31 |
| 1992711683 | Stephen A Grant | Family Medicine | 989 Route 146, Bldg.200, Clifton Park, NY 12065-3646 | 2006-08-01 |
| 1205842085 | Anthony J Marinello | Family Medicine | 989 Route 146, Bldg 200, Clifton Park, NY 12065-3646 | 2006-07-31 |
| 1346278272 | Therese Eileen Russo | Audiologist | 989 Route 146, Building 300 Ste 302, Clifton Park, NY 12065-3646 | 2006-06-29 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1902074537 | Stacey A Carter | Physician Assistant | 2 Roosevelt Ct, Clifton Park, NY 12065-6038 | 2008-02-18 |
| 1962494054 | Karen A Doherty-wells | Physician Assistant | 1 Tallow Wood Drive, Clifton Park Family Practice, Clifton Park, NY 12065 | 2005-08-16 |
| 1952889834 | Emily Dechristopher | Physician Assistant | 3 Crossing Blvd Ste 1, Clifton Park, NY 12065 | 2018-08-01 |
| 1548754468 | Jennifer Anne Hale | Physician Assistant | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2018-06-15 |
| 1750887329 | Jonathan Thomas Dore | Physician Assistant | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2018-04-03 |
| 1124432950 | Ryan Buckley | Physician Assistant | 1735 Route 9, Clifton Park, NY 12065-2421 | 2014-06-19 |
| 1164753497 | Meghan E Schiemann | Physician Assistant | 9 Old Plank Rd, Suite 100, Clifton Park, NY 12065-3107 | 2010-01-27 |
| 1841492774 | Jeffrey Stuart Cameron | Physician Assistant | 634 Plank Rd, Clifton Park, NY 12065-2033 | 2007-06-04 |
| 1003990938 | Edward Naumowicz | Physician Assistant | 1735 Route 9, Suite 105, Clifton Park, NY 12065-2411 | 2006-10-25 |
| Find all providers in CLIFTON PARK | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.