MS. ANNA THERESA D'ANGELO (NPI# 1619020963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619020963 |
| Entity Type | Individual |
| Full Name | MS. ANNA THERESA D'ANGELO |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
9 Woodland Dr Peru NY 12972 |
| Mailing Address |
9 Woodland Dr P.o. Box 437 Peru NY 12972 |
| Practice Telephone | 5186432114 |
| Practice Fax Number | 5186432114 |
| Mailing Telephone | 5186432114 |
| Mailing Fax Number | 5186432114 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002609-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871851683 | Anna Kellogg D'angelo | Psychologist | 512 S Union St, Traverse City, MI 49684-3247 | 2012-04-30 |
| Street Address |
9 WOODLAND DR |
| City | PERU |
| State | NY |
| Zip Code | 12972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780045724 | Jennifer Kanaly | Nurse Practitioner | 287 John Boswell Rd, Peru, NY 12972 | 2016-03-18 |
| 1275928467 | Tami Trombley | Counselor | 3681 State Roue 9, Peru, NY 12972 | 2015-04-03 |
| 1740568880 | Alison Rosenbaum | Counselor | 12 Elm Street, Peru, NY 12972 | 2011-07-22 |
| 1134422801 | Katherine V Lewis | Speech-Language Pathologist | 17 School Street, Peru Elementary School, Peru, NY 12972 | 2010-12-17 |
| 1295036135 | Mary Anne Cox | Social Worker | 13 Elm St, Peru Community Church, Peru, NY 12972 | 2010-11-09 |
| 1518122480 | Euclid Howard Jones | Dermatology | 436 Mannix Road, Peru, NY 12972 | 2008-07-21 |
| 1518136001 | Adirondack Medical Practice LLC | Nurse Practitioner | 3384 Rt 22, Peru, NY 12972 | 2008-02-28 |
| 1982751830 | Sandra Marie Harris | Nurse Practitioner | 9 Elm Street, Peru, NY 12972 | 2007-01-04 |
| 1821195157 | Elizabeth Rose Ahern | Physician Assistant | 3384 Route 22, Peru, NY 12972 | 2006-09-20 |
| 1679684856 | Thomas Clinton Lamar | Dentist | 2970 Main St, Peru, NY 12972 | 2006-08-31 |
| Find all providers in zip 12972 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361641 | John T Kuzma | Physician Assistant | 925 West St, Peru, IL 61354-2757 | 2014-10-17 |
| 1659706919 | Shenyka Micole Wheatly | Physician Assistant | 925 West Street, Peru, IL 61354 | 2013-09-05 |
| 1699005678 | Angela Marie Vezzetti | Physician Assistant | 920 West St, Suite 312, Peru, IL 61354-2763 | 2010-01-13 |
| 1861644734 | Kristie L Shin | Physician Assistant | 1650 Midtown Rd, Peru, IL 61354-1274 | 2008-10-22 |
| 1720161524 | Debra Lynn Pyszka | Physician Assistant | 920 West St, Suite 211, Peru, IL 61354-2763 | 2006-10-23 |
| 1417963588 | Richard Jensen | Physician Assistant | 3384 State Route 22, Peru, NY 12972-5305 | 2006-07-31 |
| 1114982386 | Thomas Malott | Physician Assistant | 285 W 12th St, Ste 112, Peru, IN 46970-1653 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 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.