MR. ADAM WALTER MIZZI (NPI# 1396944682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396944682 |
| Entity Type | Individual |
| Full Name | MR. ADAM WALTER MIZZI |
| Credential | RPA-C |
| Practice Address |
5989 Big Tree Rd Suite A Lakeville NY 14480-9719 |
| Practice Telephone | 5853464460 |
| Practice Fax Number | 5853464463 |
| Mailing Telephone | 5853464460 |
| Mailing Fax Number | 5853464463 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2008-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 011926-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5989 BIG TREE RD SUITE A |
| City | LAKEVILLE |
| State | NY |
| Zip Code | 14480-9719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710992151 | Richard S Aguirre | Internal Medicine | 5989 Big Tree Rd, Suite A, Lakeville, NY 14480-9719 | 2006-07-31 |
| 1639367725 | Fitzgerald Anthony Hudson | Emergency Medicine | 5989 Big Tree Rd, Lakeville, NY 14480-9719 | 2007-10-15 |
| 1275549966 | Anne M Aguirre | Nurse Practitioner | 5989 Big Tree Rd, Suite A, Lakeville, NY 14480-9719 | 2006-08-01 |
| 1821004698 | Richard S Aguirre | Family Medicine | 5989 Big Tree Rd, Suite A, Lakeville, NY 14480-9719 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031664 | Brenda Flores Sousa | Dentist | 6003 Big Tree Rd., Lakeville, NY 14480 | 2015-04-23 |
| 1295810802 | Nancy J Mulvaney | Pharmacist | 5975 Big Tree Rd., Lakeville, NY 14480 | 2006-10-25 |
| 1013979772 | Robin Crist | Physical Therapist | 3506 Thomas Dr., Lakeville, NY 14480 | 2006-04-06 |
| 1063488948 | Andrew V Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1386094076 | State of New York Comptrollers Office | Clinic/Center | 3505 Thomas Dr, Livonia, NY 14480 | 2016-06-14 |
| 1356445662 | Lisa N. Mckay | Pharmacist | 5975 Big Tree Rd, Lakeville, NY 14480 | 2006-09-08 |
| 1871556795 | Aaron Charles Borden | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-04-11 |
| 1740256627 | Dawn M Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1689736746 | Livonia Lakeville Pharmacy Inc | Pharmacy | 5975 Big Tree Rd, Lakeville, NY 14480-0414 | 2006-12-15 |
| 1114977741 | John Alker | Anesthesiology | 3518 Pebble Beach Rd, Lakeville, NY 14480-9708 | 2006-05-12 |
| Find all providers in zip 14480 | ||||
| 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 |
|---|---|---|---|---|
| 1952818023 | Allina Health System | Physician Assistant | 16150 Pilot Knob Rd, Lakeville, MN 55044-4105 | 2018-01-10 |
| 1821276148 | Robbin Dale Ghere | Physician Assistant | 20795 Keokuk Ave, Lakeville, MN 55044-6004 | 2008-02-08 |
| 1982650826 | Donovan Pohl | Physician Assistant | 18432 Kenrick Ave, Lakeville, MN 55044-9288 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.