SPHOORTHI JINNA (NPI# 1588906028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588906028 |
| Entity Type | Individual |
| Full Name | SPHOORTHI JINNA |
| Credential | M. D. |
| Practice Address |
333 Hooper Rd Endwell NY 13760-3641 |
| Practice Telephone | 6077292777 |
| Mailing Telephone | 6077292777 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
292483 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
333 HOOPER RD |
| City | ENDWELL |
| State | NY |
| Zip Code | 13760-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780782573 | Jennifer Fabrizi | Physician Assistant | 333 Hooper Rd, Endwell, NY 13760-3641 | 2006-09-20 |
| 1326691734 | Heather Fisher | Nurse Practitioner | 333 Hooper Rd, Endwell, NY 13760-3641 | 2019-07-24 |
| 1063923589 | Karoline Marielle Kies | Nurse Practitioner | 333 Hooper Rd, Endwell, NY 13760 | 2017-10-24 |
| 1871969022 | Abby Ehntholt | Nurse Practitioner | 333 Hooper Rd, Endwell, NY 13760 | 2015-08-11 |
| 1063614410 | Stephen Keith Morrison | Dentist | 333 Hooper Rd, Endwell, NY 13760-3641 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
| 1295231405 | Michelle Maria Kavanaugh | Technician/Technologist | 3505 Watson Blvd, Endwell, NY 13760 | 2018-04-05 |
| 1619490091 | Lynda Benson Coccia | Counselor | 1635 Union Center Highway, Endicott, NY 13760 | 2017-07-18 |
| 1780038117 | Maliha Suleman | Family Medicine | Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 | 2016-04-22 |
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1811257991 | Leslie Estelle Eldridge | Licensed Practical Nurse | 700 W. Wendell St, Endicott, NY 13760 | 2012-05-22 |
| 1801176946 | Janet M Dimaria | Physical Therapist | 712 Farm To Market Rd., Endwell, NY 13760 | 2011-08-21 |
| 1629398466 | Elaine Eagan Mcgraw | Social Worker | 715 Paden St., Endicott, NY 13760 | 2010-06-03 |
| 1447497060 | Sarah Jean Krager | Early Intervention Provider Agency | 317 North Roosevelt Avenue, Endicott, NY 13760 | 2009-01-20 |
| 1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
| Find all providers in zip 13760 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 1598043432 | Marmur Dermatology and Cardiology, Pllc | Dermatology | 12 E 87th St Suite 1a, New York, NY 10128-0501 | 2011-07-26 |
| 1427343391 | Skin Cancer and Aesthetic Surgery, P.C. | Dermatology | 2727 Ocean Pkwy, Suite L1, Brooklyn, NY 11235-7857 | 2011-06-18 |
| 1174814735 | Reason Wilken | Dermatology | 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 | 2011-04-29 |
| 1760658033 | Advanced Dermatology PC | Dermatology | 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 | 2008-05-06 |
| 1255535993 | Weill Medical College of Cornell University | Dermatology | 1305 York Ave., 9th Floor, New York, NY 10021-4870 | 2007-06-14 |
| 1336291657 | Michael Jonathan Albom | Dermatology | 33 E 70th St, 1f, New York, NY 10021-4941 | 2007-01-17 |
| 1386719425 | Ronald R Brancaccio Md & Peter Saitta Do PC | Dermatology | 7901 4th Avenue, Apt A20, Brooklyn, NY 11209-3957 | 2006-11-22 |
| 1255415113 | The Center for Dermatologic Surgery of Monroe | Dermatology | 503 State Route 208, Monroe, NY 10950-1619 | 2006-10-25 |
| 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.