STEPHEN MICHAEL NELLIS (NPI# 1508948167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508948167 |
| Entity Type | Individual |
| Full Name | STEPHEN MICHAEL NELLIS |
| Credential | PT |
| Practice Address |
3400 Seneca Tpke Ste 7 Canastota NY 13032-4632 |
| Mailing Address |
207 Pine St Syracuse NY 13210-1137 |
| Practice Telephone | 3156978514 |
| Practice Fax Number | 3156978147 |
| Mailing Telephone | 3154763176 |
| Mailing Fax Number | 3154760171 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 17733 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060814 | Stephen Michael Nellis | Student in an Organized Health Care Education/Training Program | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2019-06-04 |
| Street Address |
3400 SENECA TPKE STE 7 |
| City | CANASTOTA |
| State | NY |
| Zip Code | 13032-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659606796 | Kathryn Lynn Wilmot | Physical Therapist | 3258 Perryville Road, Canastota, NY 13032 | 2009-10-07 |
| 1053564534 | Michelle Anne Leggett | Pharmacist | Route 5 and Oxbow Rd, Canastota, NY 13032 | 2008-10-29 |
| 1255587184 | Linda Jean Marquis | Licensed Practical Nurse | 120 Monroe Avenue, Canastota, NY 13032 | 2008-08-12 |
| 1437365533 | Charles A Choi | Dentist | 3167 Seneca Turnpike, Canastota, NY 13032 | 2007-05-15 |
| 1235218751 | Nanci Lynne Knox | Chiropractor | 3250 Seneca Turnpike, Unit 1, Canastota, NY 13032 | 2006-11-03 |
| 1053404772 | Canastota Pharmacy Dba Communitypharmacy | Pharmacist | 149 S Peterboro St., Canastota, NY 13032 | 2006-10-02 |
| 1356453005 | James Louis Colocotronis | Dentist | 121 S Peterboro St, Canastota, NY 13032 | 2006-08-31 |
| 1891757076 | John W Nebzydoski | Family Medicine | 7137 Mt Pleasant Rd, Canastota, NY 13032 | 2006-04-04 |
| 1639550460 | Michael Siegenthaler | Family Medicine | 7137 Mt Pleasant Rd, Canastota, NY 13032 | 2015-06-17 |
| 1528157591 | Greater Lenox Ambulance Service Inc | Ambulance | 1 Leland G. Wright Ave, Canastota, NY 13032-0382 | 2006-10-11 |
| Find all providers in zip 13032 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205218351 | Amanda Mitchell | Specialist | 112 Pleasant St, Canastota, NY 13032-1418 | 2015-06-25 |
| 1518124775 | Donna Jeanne Maccarone | Specialist | 7118 Mount Pleasant Dr, Canastota, NY 13032-4664 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1740881846 | Deborah Singer X | Specialist | 6 Equestrian Ln Apt 8, Saratoga Springs, NY 12866-1053 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 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.