DONNA B SERGIO (NPI# 1598967184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598967184 |
| Entity Type | Individual |
| Full Name | DONNA B SERGIO |
| Practice Address |
1508 Genesee St Utica NY 13502 |
| Mailing Address |
1406 Franklyn St Rome NY 13440-2815 |
| Practice Telephone | 3157988737 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
400783 | NY | Allopathic & Osteopathic Physicians |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F302788-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03346036 | 05 | |
| NY | 400783 | 05 |
| Street Address |
1508 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295786150 | Nameer Haider | Physical Medicine & Rehabilitation | 1508 Genesee St, Utica, NY 13502-5178 | 2006-05-15 |
| 1952786444 | Betsy Loughlin | Nurse Practitioner | 1508 Genesee St, Utica, NY 13502-5178 | 2015-07-25 |
| 1629335591 | Eduardo Chen | Anesthesiology | 1508 Genesee St, Utica, NY 13502 | 2012-04-17 |
| 1801161914 | Sascha Qian | Anesthesiology | 1508 Genesee St, Utica, NY 13502-5178 | 2012-03-21 |
| 1184945164 | Ned Guirey Urbiztondo | Anesthesiology | 1508 Genesee St, Utica, NY 13502-5178 | 2010-06-14 |
| 1629228010 | John E. Minor | Physical Medicine & Rehabilitation | 1508 Genesee St, Utica, NY 13502-5178 | 2008-09-23 |
| 1114067261 | Stephen Wade | Physical Medicine & Rehabilitation | 1508 Genesee St, Utica, NY 13502-5178 | 2007-02-07 |
| 1851402127 | Advanced Physical Medicine & Rehabilitation, Pllc | Pain Medicine | 1508 Genesee St, Utica, NY 13502-5178 | 2006-08-31 |
| 1285744854 | Andrew Carucci | Prosthetic/Orthotic Supplier | 1508 Genesee St, Utica, NY 13502-5178 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104964618 | Terri Sherman | Nurse Practitioner | Suny Institute of Technology, Horatio St. N., Utica, NY 13504-3050 | 2007-02-05 |
| 1518052653 | Cathryn Jones Barns | Nurse Practitioner | 1 Notre Dame Ln, Utica, NY 13502-4817 | 2006-10-04 |
| 1508856675 | Elaine Marie Trevisani | Nurse Practitioner | 110 Business Park Dr, Utica, NY 13502-6302 | 2005-10-28 |
| 1881247799 | Karen Ann Nesci | Nurse Practitioner | 116 Business Park Dr, 1st Floor, Utica, NY 13502-6313 | 2019-07-19 |
| 1285119917 | Melissa Ann Peruzzi | Nurse Practitioner | 2209 Genesee St, Utica, NY 13501-5930 | 2018-09-28 |
| 1588095384 | Lindsey Gilchrist | Nurse Practitioner | 1427 Genesee St, Utica, NY 13501-4343 | 2013-12-03 |
| 1922437805 | Stacey Jaskolka | Nurse Practitioner | 807 Newell St, Utica, NY 13502-5313 | 2013-11-01 |
| 1558703264 | Valerie Yager | Nurse Practitioner | 2150 Bleecker St, Utica, NY 13501-1738 | 2013-07-23 |
| 1649395559 | Candace G Wilbur | Nurse Practitioner | 1400 Noyes St, Utica, NY 13502-3854 | 2007-03-20 |
| 1871688770 | Marguerite Williams | Nurse Practitioner | 1424 Genesee St, Utica, NY 13502-5101 | 2006-10-04 |
| Find all providers in UTICA | ||||
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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.