LEWISTON VILLAGE PEDIATRICS (NPI# 1629177134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629177134 |
| Entity Type | Organization |
| Organization Name | LEWISTON VILLAGE PEDIATRICS |
| Practice Address |
733 Center Street Lewiston NY 14092 |
| Practice Telephone | 7167547337 |
| Practice Fax Number | 7167542041 |
| Mailing Telephone | 7167547337 |
| Mailing Fax Number | 7167542041 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | MR. SHAWN P FERGUSON (PRESIDENT) |
| Authorized Official Telephone | 7167547337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 131077 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 07152689 | 05 | |
| NY | 00968483 | 05 | |
| NY | 00586883 | 05 | |
| NY | 01827458 | 05 |
| Street Address |
733 CENTER STREET |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071521 | Shawn P Ferguson | Pediatrics | 733 Center Street, Lewiston, NY 14092 | 2006-02-13 |
| 1457324014 | Thomas R Gerbasi | Pediatrics | 733 Center Street, Lewiston, NY 14092 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013953991 | Gretchen A. Pianka | Pediatrics | 12 High St Ste 301, Lewiston, ME 04240-7690 | 2006-06-21 |
| 1922071521 | Shawn P Ferguson | Pediatrics | 733 Center Street, Lewiston, NY 14092 | 2006-02-13 |
| 1982262325 | Logan Andrew Phelps | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2019-05-31 |
| 1962853697 | Joseph Michael Anderson | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2016-06-23 |
| 1033585344 | Astrid Rivera Rodriguez | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-08-20 |
| 1285017046 | Virginia Mcmaster | Pediatrics | 330 Sabattus St Ste B, Lewiston, ME 04240 | 2015-06-29 |
| 1750630307 | Jenisha Nandhlal | Pediatrics | 100 Campus Ave, Lewiston, ME 04240-6040 | 2012-08-29 |
| 1669734000 | Sara Carrie Tarolli | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2012-06-12 |
| 1669762746 | Elizabeth D Baker | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2011-04-11 |
| 1619296837 | Margaret T Curtis | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2010-05-27 |
| Find all providers in LEWISTON | ||||
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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.