SUE A STUCKER (NPI# 1346584034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346584034 |
| Entity Type | Individual |
| Full Name | SUE A STUCKER |
| Credential | NP |
| Practice Address |
182 Intrepid Ln Syracuse NY 13205-2545 |
| Practice Telephone | 3152187020 |
| Mailing Telephone | 3152187020 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 534902-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338786 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RN | 534902-1 | 01 |
| NY | NP | F338786 | 01 |
| Street Address |
182 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767000 | Mikhail Boris Shik | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-02-02 |
| 1225459175 | Familycare Medical Group PC | Non-Pharmacy Dispensing Site | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2013-12-19 |
| 1902245384 | Sean Bresnahan | General Practice | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2013-06-19 |
| 1376898197 | Kathleen Mcdonnell Michel | Nurse Practitioner | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2012-07-18 |
| 1215017371 | Ajaz B Shawl | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-10-16 |
| 1962593327 | Kenneth Barrett Parker | Chiropractor | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2006-09-28 |
| 1356369060 | Gerald V. Mcmahon | Internal Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-07-18 |
| 1811959935 | Digant M. Nanavati | Family Medicine | 182 Intrepid Ln, Brighton Medical Associates, Syracuse, NY 13205 | 2006-04-04 |
| 1144299835 | Timothy John Daughton Jr. | Chiropractor | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1679191019 | Katherine Rose Halleck | Nurse Practitioner | 141 Atkinson Ave, Syracuse, NY 13207-1125 | 2020-07-13 |
| 1649817693 | Ladislava Kulikova | Nurse Practitioner | 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 | 2019-12-09 |
| 1841845799 | Robin M Stark | Nurse Practitioner | 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 | 2019-08-07 |
| 1699335729 | Kathleen M Tindall | Nurse Practitioner | 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 | 2019-06-20 |
| 1760964142 | Stacey Margaret Schneble | Nurse Practitioner | 114 Skyview Ter, Syracuse, NY 13219-2850 | 2018-09-03 |
| 1447753355 | Lilia P Buchmuller | Nurse Practitioner | 1361 S 2675 W, Syracuse, UT 84075-8306 | 2018-03-16 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1225550783 | Kerry Laine Goessling | Nurse Practitioner | 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 | 2017-07-16 |
| Find all providers in SYRACUSE | ||||
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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.