DR. WANIDA STOUTENBURG (NPI# 1447316021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447316021 |
| Entity Type | Individual |
| Full Name | DR. WANIDA STOUTENBURG |
| Credential | DPM |
| Practice Address |
65 Bloomingdale Rd Tillson NY 12486-1307 |
| Practice Telephone | 8456588415 |
| Mailing Telephone | 8456588415 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N005408 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01779322 | 05 |
| Street Address |
65 BLOOMINGDALE RD |
| City | TILLSON |
| State | NY |
| Zip Code | 12486-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346536828 | Marshall David Sheldon | Counselor | 15 Pine St, Tillson, NY 12486 | 2011-06-23 |
| 1487818761 | Ramona Policastro | Student in an Organized Health Care Education/Training Program | 22 North Road, Tillson, NY 12486 | 2008-07-15 |
| 1962530014 | Linda Irene Mandic O Sullivan | Chiropractor | 10 Spring St, Tillson, NY 12486 | 2007-03-01 |
| 1578940748 | Gina Tauro | Specialist | 27 Rose Ave, Tillson, NY 12486-0252 | 2015-04-27 |
| 1679121032 | Emily Rose Gulitti | Specialist/Technologist | 24 Jeffery Dr, Tillson, NY 12486-1005 | 2019-08-29 |
| 1912916370 | Ronald Figueroa | Counselor | 228 Maple Ave, Tillson, NY 12486-1028 | 2006-08-05 |
| 1215182860 | Robin S Evans | Speech-Language Pathologist | 144 Grove St, Tillson, NY 12486-1208 | 2008-11-24 |
| 1760694699 | Gail Picciati | Occupational Therapy Assistant | 19 Kellars Ln, Tillson, NY 12486-1225 | 2007-05-04 |
| 1851740369 | Tamara Shannon Sisilli | Licensed Practical Nurse | 271 Grist Mill Rd, Tillson, NY 12486-1323 | 2016-06-06 |
| 1891949673 | Hope Corenzwit | Social Worker | 11 Merrihew Ave, Tillson, NY 12486-1602 | 2008-11-06 |
| Find all providers in zip 12486 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| 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.