DR. HOLLY WASNIEWSKI (NPI# 1417020090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417020090 |
| Entity Type | Individual |
| Full Name | DR. HOLLY WASNIEWSKI |
| Credential | D.O. |
| Practice Address |
286 Stage Rd Charlton NY 12019-2618 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183992101 |
| Practice Fax Number | 5183992130 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 240602 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02826373 | 05 |
| Street Address |
286 STAGE RD |
| City | CHARLTON |
| State | NY |
| Zip Code | 12019-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386663003 | Kristen Hedger Martin | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1275973638 | Lacey M Weller | Nurse Practitioner | 286 Stage Rd, Charlton, NY 12019-2618 | 2013-07-01 |
| 1598046203 | Community Care Physicians, PC | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2011-09-08 |
| 1881705515 | Kathleen A Espey | Nurse Practitioner | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-08-31 |
| 1154340875 | David Millard Phelps | Internal Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1033138755 | Philip Raymond Hunter | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254765 | Leah Bushey | Occupational Therapist | 4062 Jockey St, Charlton, NY 12019 | 2017-02-15 |
| 1033492160 | Katie Whelan | Speech-Language Pathologist | 9 St. Patrick Place, Ballston Lake, NY 12019 | 2011-09-26 |
| 1548564941 | Anthony Iannuccillo | Optometrist | 5 Wood Dale Dr., Ballston Lake, NY 12019 | 2010-12-29 |
| 1578886867 | Cynthia Sadauskas | Pharmacist | 806 Saratoga Rd, Burnt Hills, NY 12019 | 2010-03-01 |
| 1801065412 | Mary Bridget Murphy | Pharmacist | 806 Route 50, Burnt Hills, NY 12019 | 2008-02-27 |
| 1962617191 | Stephanie Yonkers | Nurse Practitioner | 318 Ruhle Rd. S., Ballston Lake, NY 12019 | 2007-05-11 |
| 1457574287 | David Brooks Pierce | Dentist | 110 Lake Rd., Ballston Lake, NY 12019 | 2007-04-10 |
| 1326123183 | Paul J Gauthier Sr. | Dentist | 397 Stage Rd, Charlton, NY 12019 | 2006-10-27 |
| 1942398300 | Irwin Bruce Finch | Dentist | 134 Wood Dale Drive, Ballston Lake, NY 12019 | 2006-10-11 |
| 1124053897 | Jerry Frank Maiello Jr. | Social Worker | 331 Ushers Road, Northway 10 Professional Park, Ballston Lake, NY 12019 | 2006-07-11 |
| Find all providers in zip 12019 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1447321385 | Charlton Family Practice | Family Medicine | 246 Southbridge Road, Charlton, MA 01507-5237 | 2006-11-13 |
| 1386663003 | Kristen Hedger Martin | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1134180425 | Martin Devine | Family Medicine | 61 N Main St, Charlton, MA 01507-1315 | 2006-03-28 |
| 1598046203 | Community Care Physicians, PC | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2011-09-08 |
| 1780895433 | Carleen Anne Mcquaid | Family Medicine | 246 Southbridge Rd, Charlton Family Practice, Charlton, MA 01507 | 2007-05-24 |
| 1972671758 | Paul D Harrington | Family Medicine | 246 Southbridge Road, Charlton, MA 01507-5237 | 2006-12-01 |
| 1306945092 | Brenda J Geddis-comrie | Family Medicine | 10 N Main St, Charlton, MA 01507-1590 | 2006-09-21 |
| 1033138755 | Philip Raymond Hunter | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2006-07-19 |
| 1730112368 | Andrey Yuryevich Sayko | Family Medicine | 246 Southbridge Rd, Charlton, MA 01507-5237 | 2006-07-08 |
| Find all providers in CHARLTON | ||||
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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.