DR. KATRINA RUTH STIDHAM (NPI# 1508952219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508952219 |
| Entity Type | Individual |
| Full Name | DR. KATRINA RUTH STIDHAM |
| Credential | M.D. |
| Practice Address |
1055 Saw Mill River Rd Ste 101 Ardsley NY 10502-1045 |
| Practice Telephone | 9146937636 |
| Practice Fax Number | 9146935994 |
| Mailing Telephone | 9146937636 |
| Mailing Fax Number | 9146935994 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
250862 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1055 SAW MILL RIVER RD STE 101 |
| City | ARDSLEY |
| State | NY |
| Zip Code | 10502-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073583845 | H D Reddy | Internal Medicine | 1055 Saw Mill River Rd, 211, Ardsley, NY 10502 | 2006-01-25 |
| 1134507809 | Alexandra Kaplan Corwin | Dietitian, Registered | 1055 Saw Mill River Rd, Suite 208, Ardsley, NY 10502-1045 | 2015-05-13 |
| 1326384504 | Alexandra Kaplan Corwin | Dietitian, Registered | 1055 Saw Mill River Rd, Suite 208, Ardsley, NY 10502-1045 | 2012-12-17 |
| 1386900280 | Kathy Kenvin | Audiologist | 1055 Saw Mill River Rd, Ardsley, NY 10502-1045 | 2012-04-04 |
| 1780983213 | Leslie E Liberatore | Nurse Practitioner | 1055 Saw Mill River Rd, Suite 206, Ardsley, NY 10502-1045 | 2011-03-23 |
| 1093012940 | Ent Physicians and Surgeons, LLP | Otolaryngology | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1045 | 2011-02-11 |
| 1952610511 | Joanna Krsulich | Dietitian, Registered | 1055 Saw Mill River Rd, Ardsley, NY 10502-1045 | 2010-09-30 |
| 1285967513 | Advanced Dental of Ardsley Pllc | Dentist | 1055 Saw Mill River Rd, Suite 201, Ardsley, NY 10502-1045 | 2009-09-18 |
| 1780816918 | Stephen Warshafsky Md Internal Medicine Pllc | Internal Medicine | 1055 Saw Mill River Rd, Suite 206, Ardsley, NY 10502-1045 | 2009-08-21 |
| 1184850489 | Craig Elliot Berzofsky | Otolaryngology | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1045 | 2009-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620139 | Judith Tamara Moskowitz | Psychologist | 547 Saw Mill River Road, Suite 26, Ardsley, NY 10502 | 2020-02-05 |
| 1700303930 | John Bohl II | Specialist | 875 Saw Mill River Rd, Ardsley, NY 10502 | 2017-08-28 |
| 1457717506 | Kathleen Kelly Malone, Lcsw LLC | Social Worker | 1 Dell Lane, Ardsley, NY 10502 | 2016-01-05 |
| 1881030245 | Jillian Rose Donnelly | Urology | 1 Mill River Ln Apt 105, Ardsley, NY 10502 | 2013-05-13 |
| 1033465174 | Patricia A Petronella | Specialist | 1053 Sawmill River Rd., Hta of New York, Ardsley, NY 10502 | 2012-07-26 |
| 1730469578 | Mariya Kobi | Student in an Organized Health Care Education/Training Program | 6 Jordan Lane, Ardsley, NY 10502 | 2011-08-25 |
| 1447567300 | Nicole E Fernandes | Psychologist | 700 Ashford Avenue, Ardsley Middle School, Ardsley, NY 10502 | 2010-09-13 |
| 1720226541 | Jennifer Combs Lalor | Speech-Language Pathologist | 410 Saw Mill River Road, Suite 2050, Ardsley, NY 10502 | 2009-02-02 |
| 1548435985 | Adam Scott Weissman | Psychologist | 517 Almena Ave, Ardsley, NY 10502 | 2008-04-28 |
| 1235348095 | Carmen Muniz Cooper | Social Worker | 545 Saw Mill River Road, Suite 3a, Ardsley, NY 10502 | 2007-05-21 |
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| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093012940 | Ent Physicians and Surgeons, LLP | Otolaryngology | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1045 | 2011-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417049750 | Darius Kohan | Otolaryngology | 863 Park Ave, Suite 1e, New York, NY 10075-0380 | 2006-09-28 |
| 1285739086 | Kenneth Haskell Brookler | Otolaryngology | 111 E 77 St, New York, NY 10021 | 2006-09-14 |
| 1437187374 | Abraham Shulman | Otolaryngology | 118 35 Queens Blvd., Suite 1430, Forest Hills, NY 11375-7200 | 2006-06-29 |
| 1376598326 | Ent and Allergy Associates LLP | Otolaryngology | 660 White Plains Rd Ste 400, Tarrytown, NY 10591-5107 | 2006-05-24 |
| 1063656296 | David R Friedmann | Otolaryngology | 550 1st Ave, Skirball Suite 7q, New York, NY 10016-6402 | 2009-05-01 |
| 1538303615 | Paul Eric Hammerschlag, Md, Facs, Pllc | Otolaryngology | 650 1st Ave, New York, NY 10016-3240 | 2009-04-21 |
| 1548469091 | George Andrew Poulos | Otolaryngology | 2929 Expressway Dr N, Islandia, NY 11749-5306 | 2007-07-15 |
| 1790871416 | Won Taek Choe | Otolaryngology | 210 E 86th St, 9th Floor, New York, NY 10028-3003 | 2006-10-04 |
| 1780785303 | Paul Eric Hammerschlag | Otolaryngology | 650 1st Ave, New York, NY 10016-3240 | 2006-09-26 |
| 1528169802 | Ronald Alan Hoffman | Otolaryngology | 380 2nd Ave, 9th Floor, New York, NY 10010-5615 | 2006-09-26 |
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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.