MS. CHERYL J PEROG (NPI# 1508893157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508893157 |
| Entity Type | Individual |
| Full Name | MS. CHERYL J PEROG |
| Credential | PA-C, MHS |
| Practice Address |
St. Peter's Hospitoal Occupational Health 310 South Manning Boulevard Albany NY 12053 |
| Mailing Address |
21 Lea Dr Delanson NY 12053-3551 |
| Practice Telephone | 5185252363 |
| Mailing Telephone | 5188756192 |
| Mailing Fax Number | 5188759037 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003521 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 003521 | 01 |
| Street Address |
ST. PETER'S HOSPITOAL OCCUPATIONAL HEALTH 310 SOUTH MANNING BOULEVARD |
| City | ALBANY |
| State | NY |
| Zip Code | 12053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053710806 | Emily Ruth Vanderveen | Chiropractor | 645 Sheldon Road, Delanson, NY 12053 | 2014-08-18 |
| 1306080189 | Susan D Emerick-kralovic | Speech-Language Pathologist | 6992 Skyline Dr., Delanson, NY 12053 | 2009-04-24 |
| 1275773699 | Michelle R Maloney | Occupational Therapy Assistant | 1179 Knox Cave Road, Delanson, NY 12053 | 2009-02-25 |
| 1053565176 | Karen M Ferone | Psychologist | 2841 Thousand Acre Road, Whispering Pines Preschool, Delanson, NY 12053 | 2008-11-17 |
| 1740446061 | Martha M. Frank | Occupational Therapist | 2841 Thousand Acres Road, Delanson, NY 12053 | 2008-08-06 |
| 1790957553 | Elizabeth D. Iseman | Counselor | 10284 Duanesburg Rd., Delanson, NY 12053 | 2008-04-01 |
| 1851873392 | Colleen Rose | Licensed Practical Nurse | 296 Maranatha Way, Delanson, NY 12053-1730 | 2018-08-31 |
| 1043441942 | Mary Ann Efner | Occupational Therapist | 756 Middle Rd, Delanson, NY 12053-1736 | 2009-07-27 |
| 1497903413 | Erika M Pelletier | Speech-Language Pathologist | 184 Wendy Ln, Delanson, NY 12053-1815 | 2008-09-03 |
| 1255720249 | Wendy Bender | Social Worker | 2812 Thousand Acres Rd, Delanson, NY 12053-1916 | 2015-01-14 |
| Find all providers in zip 12053 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489384 | Jessica Patrizio | Physician Assistant | 25 Hackett Blvd # Mc69, Albany, NY 12208-3462 | 2015-06-11 |
| 1952799611 | Tezita Beemnet | Physician Assistant | 1712 E Broad Ave # Setc, Albany, GA 31705-2611 | 2015-01-05 |
| 1437485257 | Rebecca M Hosey | Physician Assistant | 116 Everett Road, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 | 2009-10-29 |
| 1124185590 | Christine Elizabeth Mcgovern | Physician Assistant | 1400 Washington Ave, University Health Center, Albany, NY 12222-0100 | 2007-01-03 |
| 1598744534 | Richard H Stowe Jr. | Physician Assistant | 425 W 3rd Ave Ste 550, Albany, GA 31701-1999 | 2006-01-10 |
| 1043218878 | John A Dennis | Physician Assistant | 1200 N Jefferson St, Albany, GA 31701-2057 | 2005-07-14 |
| 1265430326 | Dennis I. Silber | Physician Assistant | 2 Palisades Drive, Albany, NY 12205-1438 | 2005-07-12 |
| 1700496635 | Angela Cunningham | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-08-05 |
| 1629619846 | Daniel A Horton | Physician Assistant | 123 Everett Rd, Albany, NY 12205-1407 | 2019-09-30 |
| 1154977015 | Valencia Derbie Guillaume | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2019-08-15 |
| Find all providers in ALBANY | ||||
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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.