SUSAN A. KRZYZAK (NPI# 1558479204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558479204 |
| Entity Type | Individual |
| Full Name | SUSAN A. KRZYZAK |
| Credential | N.P. |
| Practice Address |
522 S 4th St Suite 500 Fulton NY 13069-2946 |
| Mailing Address |
239 Oneida St Fulton NY 13069-1228 |
| Practice Telephone | 3155984740 |
| Practice Fax Number | 3155984719 |
| Mailing Telephone | 3155984715 |
| Mailing Fax Number | 3155984733 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331665 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
522 S 4TH ST SUITE 500 |
| City | FULTON |
| State | NY |
| Zip Code | 13069-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687392 | Zaeem Ansari | Internal Medicine | 522 S 4th St, Suite 1500, Fulton, NY 13069-2946 | 2005-05-27 |
| 1891257630 | Tyanna Bergeron | Nurse Practitioner | 522 S 4th St, Fulton, NY 13069-2946 | 2019-04-02 |
| 1992259451 | Meaghan Primm | Family Medicine | 522 S 4th St, Fulton, NY 13069-2946 | 2016-08-12 |
| 1457629453 | Jayakumar Thotambilu, Physician, P.C. | Specialist | 522 S 4th St, Suite 1300, Fulton, NY 13069-2946 | 2011-12-05 |
| 1447553672 | Rosemarie Lanza Surowiec | Physician Assistant | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2010-12-09 |
| 1972830511 | Heidi M Czajkowski | Physician Assistant | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2009-11-03 |
| 1578638573 | Hasan Zakariyya | Specialist | 522 S 4th St, Suite 1400, Fulton, NY 13069-2946 | 2006-11-22 |
| 1437247749 | M Zaeem Ansari, M.d., P.C. | Internal Medicine | 522 S 4th St, Suite 1500, Fulton, NY 13069-2946 | 2006-10-11 |
| 1346358082 | Kylie M. Lacey | Nurse Practitioner | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2006-08-25 |
| 1124135025 | Marie E. Castillo-alcasid | Internal Medicine | 522 S 4th St, Suite 500, Fulton, NY 13069-2946 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291454 | Awilda Vega Johnston | Counselor | 92 N. 2nd St., #100, Fulton, NY 13069 | 2020-03-23 |
| 1174169346 | Gabrielle Sunshine Chrestler | Technician | 2118 Co Rt 176, Fulton, NY 13069 | 2019-11-22 |
| 1558917310 | Renee Omsby | Technician | 1323 County Rte 9, Fullton, NY 13069 | 2019-08-16 |
| 1194208488 | Bridgette Lynn Godfrey | Registered Nurse | 167 South 4th Street, Fulton, NY 13069 | 2018-09-12 |
| 1205299195 | Nu-ops, Inc | Taxi | 107 West 4th St So, Fulton, NY 13069 | 2016-03-30 |
| 1770909061 | Siobhan Anne Walsh | Licensed Practical Nurse | 436 Rowlee Road, Fulton, NY 13069 | 2014-03-11 |
| 1982971743 | Jennifer Lynn Scaringi | Licensed Practical Nurse | 505 Seneca St, Fulton, NY 13069 | 2011-11-22 |
| 1215242680 | Meghan Kathleen Hill | Physical Therapist | 706 South 4th St, Fulton, NY 13069 | 2010-08-10 |
| 1659699064 | Daniel Petrescu | Physical Therapist | 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 | 2010-05-10 |
| 1528212842 | Robyn Elizabeth Mccann | Licensed Practical Nurse | 464 Red School House Road, Fulton, NY 13069 | 2008-11-13 |
| Find all providers in zip 13069 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
| 1245890177 | Jo-ann Walter Middleton | Nurse Practitioner | 11957 Lime Kiln Rd, Fulton, MD 20759-9616 | 2019-06-13 |
| 1396200408 | Paige A Nabors | Nurse Practitioner | 800 Scott Senter Rd, Fulton, MS 38843-6238 | 2019-02-02 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1730695503 | Sametta Rhoda Sanyaolu | Nurse Practitioner | 7625 Maple Lawn Blvd Ste 260, Fulton, MD 20759-2565 | 2017-12-15 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1316214182 | Lynne M Coffey | Nurse Practitioner | 1130 17th St Ste B, Fulton, IL 61252-2008 | 2011-11-22 |
| 1669775821 | Jolane Sue Conklin | Nurse Practitioner | 2221 1 1/2 Mile Rd, Fulton, MI 49052-9632 | 2010-12-09 |
| 1386813855 | Zorina Marie Pina-hauan | Nurse Practitioner | 501 Westminster Ave, Fulton, MO 65251-1230 | 2008-02-28 |
| 1336266550 | Tara B Enlow | Nurse Practitioner | 202 Interchange Dr, Fulton, MS 38843-6011 | 2007-03-23 |
| Find all providers in FULTON | ||||
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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.