AMANDA ELYSE MARENGO (NPI# 1336581115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336581115 |
| Entity Type | Individual |
| Full Name | AMANDA ELYSE MARENGO |
| Practice Address |
3005 Watkins Rd Horseheads NY 14845-1800 |
| Practice Telephone | 6077398711 |
| Practice Fax Number | 6077962566 |
| Mailing Telephone | 6077398711 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 016744 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3005 WATKINS RD |
| City | HORSEHEADS |
| State | NY |
| Zip Code | 14845-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538193537 | Bethany Nursing Home and Health Related Facility, Inc. | Skilled Nursing Facility | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2006-07-10 |
| 1265949010 | Kimberly Myers | Physical Therapist | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2018-01-02 |
| 1649657966 | Jennifer Rose Mckeown | Counselor | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2015-05-06 |
| 1366837486 | Joel Arthur Schoenberg | Family Medicine | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2015-04-06 |
| 1063800464 | Burgandy Gray | Physician Assistant | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2015-01-07 |
| 1487055711 | Brianna Lynn Laramee | Physician Assistant | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2014-09-05 |
| 1295136638 | Melanie Call | Physician Assistant | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2014-09-04 |
| 1578699500 | Bethany Retirement Home, Inc. | Home Health | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883919 | Sarika Pandharinath Ballari | Student in an Organized Health Care Education/Training Program | 342 Wexford Lane, Horseheads, NY 14845 | 2019-04-17 |
| 1679091227 | J Pain & Spine Care | Neurological Surgery | 217 Old Ithaca Rd, Horseheads, NY 14845 | 2017-09-05 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1154877702 | Barnes Chiropractic, Pllc | Chiropractor | 301 W. Broad St., Horseheads, NY 14845 | 2016-09-01 |
| 1871048538 | Jeanette Marie Walrath | Nurse Practitioner | 3344 Chambers Road, Suite 200, Horseheads, NY 14845 | 2016-08-23 |
| 1861820565 | Susan Elaine Sager | Registered Nurse | 950 Sing Sing Road, Horseheads Middle School, Horseheads, NY 14845 | 2013-10-16 |
| 1083963599 | Rachael Kristen Burke | Licensed Practical Nurse | 722 Taylor Rd, Horseheads, NY 14845 | 2012-08-30 |
| 1386910990 | Angela Christina Bahlatzis | Physician Assistant | 309 Scenic View, Horseheads, NY 14845 | 2012-03-28 |
| 1316214398 | Carol Callahan | Licensed Practical Nurse | 401 Fletcher St., Horseheads, NY 14845 | 2011-11-19 |
| 1194020255 | Jean M Sheahan | Occupational Therapist | One Raider Lane, Horseheads, NY 14845 | 2011-01-21 |
| Find all providers in zip 14845 | ||||
| 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 |
|---|---|---|---|---|
| 1639665037 | Heidie Elizabeth Nobles | Physician Assistant | 100 John Roemmelt Dr Fl 3, Horseheads, NY 14845-8301 | 2018-07-09 |
| 1386910990 | Angela Christina Bahlatzis | Physician Assistant | 309 Scenic View, Horseheads, NY 14845 | 2012-03-28 |
| 1164979506 | Sarah Lynne Yorke | Physician Assistant | 100 John Roemmelt Dr, Suite 302, Horseheads, NY 14845-8301 | 2016-09-01 |
| 1902275977 | Sara Noorzad | Physician Assistant | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2015-09-21 |
| 1518342484 | Sarah L. Matera | Physician Assistant | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2015-07-21 |
| 1063800464 | Burgandy Gray | Physician Assistant | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2015-01-07 |
| 1780082313 | Merlyn Jacob Koshy | Physician Assistant | 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 | 2014-12-13 |
| 1487055711 | Brianna Lynn Laramee | Physician Assistant | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2014-09-05 |
| 1295136638 | Melanie Call | Physician Assistant | 3005 Watkins Rd, Horseheads, NY 14845-1800 | 2014-09-04 |
| 1801132246 | Cameron James Cowburn | Physician Assistant | 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 | 2012-12-12 |
| Find all providers in HORSEHEADS | ||||
| City | HORSEHEADS |
| Zip Code | 14845 |
Please comment or provide details below to improve the information on AMANDA ELYSE MARENGO.
| 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.