MRS. JESSICA LYNN DEMAURO


Address: 111 Waverly Avenue, Syracuse, NY 13244
Phone: 3154439005

MRS. JESSICA LYNN DEMAURO (NPI# 1346657251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346657251
Entity Type Individual
Full Name MRS. JESSICA LYNN DEMAURO
Other Name MS. JESSICA LYNN GMYR
Credential PA-C
Practice Address 111 Waverly Avenue
Syracuse
NY 13244
Practice Telephone 3154439005
Mailing Telephone 3154439005
Enumeration Date 2014-07-14
Last Update Date 2017-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
017667 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 111 WAVERLY AVENUE
City SYRACUSE
State NY
Zip Code 13244

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922152651 Beth Ann Binkowski Internal Medicine 111 Waverly Ave., Syracuse, NY 13244 2007-01-22
1376182881 Staceyann Reid Counselor 2212 Erie Blvd E Suite C, Syracuse, NY 13244-0001 2019-12-31
1104287101 Kathleen Chaney Specialist/Technologist 1301 E Colvin, Syracuse, NY 13244-0001 2016-03-18
1760866701 Anna Bender Student in an Organized Health Care Education/Training Program 244 White Hl, Syracuse, NY 13244-0001 2015-07-18
1245638790 Adelyn Passaro Specialist/Technologist 1301 E Colvin St, Syracuse, NY 13244-0001 2014-12-16
1982940672 Natalie Russo Psychologist 403 Huntington Hl, Syracuse University Dept. of Psychology, Syracuse, NY 13244-0001 2012-12-27
1538464417 Joshua Charles Felver Psychologist Syracuse University Ctr, 804 University Ave., Suite 201, Syracuse, NY 13244-0001 2011-01-24
1689808529 Anita L Lightburn Speech-Language Pathologist Gebbie Clinics, 805 S. Crouse Ave., Syracuse, NY 13244-0001 2009-05-06
1811138290 Kristen L Kennedy Audiologist 805 S Crouse Ave, Syracuse, NY 13244-0001 2009-03-16
1619147352 Tammy Marie Kordas Audiologist 805 South Crouse, Room 200, Syracuse, NY 13244-0001 2008-03-10
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1326020033 Michelle Margaret Ederer Physician Assistant 3504 W Genesee St, Syracuse, NY 13219-2008 2005-11-17
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
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Competitor

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City SYRACUSE
Zip Code 13244

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Dataset Information

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.

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