SARAH VAN EENENAAM


Address: Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210
Phone: 3154641800

SARAH VAN EENENAAM (NPI# 1376194720) 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) 1376194720
Entity Type Individual
Full Name SARAH VAN EENENAAM
Practice Address Adult Cardiac Surgery
750 East Adams St
Syracuse
NY 13210
Mailing Address 126 Paddock St
Watertown
NY 13601-3917
Practice Telephone 3154641800
Enumeration Date 2019-09-26
Last Update Date 2019-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address ADULT CARDIAC SURGERY
750 EAST ADAMS ST
City SYRACUSE
State NY
Zip Code 13210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
1699283770 Karla Beth Murphy Social Worker 635 Madison Street, Syracuse, NY 13210 2018-01-11
Find all providers in zip 13210

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851586986 Alyssa C Miles Physician Assistant 1304 Buckley Rd Ste 200, Nephrology Associates of Syracuse, PC, Syracuse, NY 13212-4317 2007-09-11
1730710690 Danielle Burke Physician Assistant 104 Union Ave Ste 809, Syracuse, NY 13203-1843 2020-01-30
1235799768 Peter J Colligan Physician Assistant 301 Prospect Ave, Syracuse, NY 13203-1807 2019-06-17
1992278584 Philip Macleod Physician Assistant 301 Prospect Ave, Syracuse, NY 13203-1807 2019-01-07
1578038832 Kathryn Ann Landon Physician Assistant 301 Prospect Ave, Syracuse, NY 13203-1807 2018-10-12
1043795735 Dianne Marie Vitkus Physician Assistant 301 Prospect Ave, Syracuse, NY 13203-1899 2018-09-27
1215419775 Brianna Fedorich Physician Assistant 736 Irving Ave, Syracuse, NY 13210-1690 2018-08-31
1790204535 Matthew Sherwood Physician Assistant 736 Irving Ave, Syracuse, NY 13210-1687 2017-09-13
1881110245 Gregory Thomas Pier Physician Assistant 739 Irving Ave Ste 600, Syracuse, NY 13210-1663 2017-08-17
1275081119 Rajendra Shrestha Physician Assistant 104 Union Ave Ste 809, Syracuse, NY 13203-1843 2016-09-20
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13210

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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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