JON EDWARD STREETER


Address: 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074
Phone: 5183483176

JON EDWARD STREETER (NPI# 1538521380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538521380
Entity Type Individual
Full Name JON EDWARD STREETER
Credential RPA-C
Practice Address 1205 Troy Schenectady Rd Ste 101
Latham
NY 12110-1074
Mailing Address 1101 Nott St
Neurosciences
Schenectady
NY 12308-2425
Practice Telephone 5183483176
Mailing Telephone 5182433387
Enumeration Date 2016-03-22
Last Update Date 2019-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
019587 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1101 Nott St, Neurosciences, Schenectady, NY 123082425 5182433387

Office Location

Street Address 1205 TROY SCHENECTADY RD STE 101
City LATHAM
State NY
Zip Code 12110-1074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215926977 Heidi Jane Rasmussen Family Medicine 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2005-10-17
1669084703 Lashondia Sheree Adams Psychiatry & Neurology 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2020-08-19
1982240339 Andrea Guthorn Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2019-11-20
1518449677 Kathleen M Ryan Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2018-09-05
1659891810 Katie Suzanne Tafur Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2017-06-20
1427507284 Sachmarie Crowley Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2016-09-22
1497201511 Portia O Davis Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2016-08-29
1568846806 Catherine A Lesson Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2015-07-16
1003297599 Ashleigh Berger Registered Nurse 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2015-06-10
1013306455 Clementine Miller Nurse Practitioner 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2015-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154963973 Bayley Archinal Physical Therapist 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 2019-10-14
1114410701 Kimberly A. Hostig Licensed Clinical Social Worker Pllc Clinic/Center 8 Stanley Cir Ste 11, Latham, NY 12110 2018-06-08
1710477260 Colleen Phillips Physical Therapist 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 2018-05-10
1528574779 Deborah Cannon Specialist 33c Waterford Avenue East, Latham, NY 12110 2017-12-26
1730600149 Michael Navarrete Dentist 231 Wade Road Ext Unit 101, Latham, NY 12110 2017-07-06
1316499452 Colonie Asc LLC Clinic/Center 207 Troy-schenectady Rd, Colonie, NY 12110 2016-10-25
1720539950 Tania M Durante Pharmacist 1057 Troy-schenectady Rd, Latham, NY 12110 2016-10-24
1417344987 New York Epilepsy Medicine, PC Clinic/Center 3 Lear Jet Ln Ste 203, Latham, NY 12110 2015-04-22
1346664752 Lauren Gannon Registered Nurse 95 Forts Ferry Road, Latham, NY 12110 2014-02-06
1649522756 Natasha Kapsaroff-ruiz Nurse Practitioner 654 Watervliet Shaker Rd, Latham, NY 12110 2012-10-12
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568714467 Rachel Elizabeth Smith Physician Assistant 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2012-10-03
1982899027 Naomi Nicole Wilder Physician Assistant 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 2007-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205434727 Julia Loren Bartsch Physician Assistant 11791 Genesee St, Alden, NY 14004-9713 2020-10-16
1295347078 Alana Janine Miller Physician Assistant 1060 5th Ave # 1b, New York, NY 10128-0104 2020-08-21
1336768647 Abul Sarker Physician Assistant 2 Sagamore Ave, Suffern, NY 10901-7412 2020-04-16
1689200412 Margaret Ann Sullivan Physician Assistant 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 2020-03-12
1376177527 Anabell Marina Lopez Plaza Physician Assistant 12 Berrywood Ct, Bay Shore, NY 11706-2058 2020-02-26
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
1992348775 Nafiur Rahman Chowdhury Physician Assistant 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 2019-10-23
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1578114377 Matthew Newmark Eisenstein Physician Assistant 3260 43rd St Apt 2r, Astoria, NY 11103-2745 2019-09-23
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Competitor

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City LATHAM
Zip Code 12110

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Dataset Information

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.

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