SHAUN CUMM (NPI# 1669476065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669476065 |
| Entity Type | Individual |
| Full Name | SHAUN CUMM |
| Credential | PA |
| Practice Address |
6 Hearts Way Adirondack Cardiology Queensbury NY 12804-5925 |
| Mailing Address |
100 Park Street Glens Falls Hospital - Credentialng Glens Falls NY 12801-4413 |
| Practice Telephone | 5187921233 |
| Practice Fax Number | 5187926854 |
| Mailing Telephone | 5189265924 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
010236 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02626180 | 05 |
| Street Address |
6 HEARTS WAY ADIRONDACK CARDIOLOGY |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556181 | Patrick Rowley | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-05-27 |
| 1558926667 | Melissa A Roff | Physician Assistant | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804 | 2019-05-03 |
| 1760730030 | Glens Falls Hospital Inc | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2012-08-17 |
| 1285950675 | Jordan C. A. Blackwood | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804-5925 | 2010-04-11 |
| 1194951905 | Mark R Vandien | Physician Assistant | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2009-06-08 |
| 1194744318 | Henry T Tan | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804-5925 | 2006-07-19 |
| 1699793539 | Iqbal Bashir | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2006-07-18 |
| 1518958610 | Atilla Kayalar | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804-5925 | 2005-10-30 |
| 1558353953 | Adirondack Cardiology Associates PC | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804 | 2005-08-22 |
| 1982606984 | Gregory A. Kelly | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911643 | Julie Anderson | Physician Assistant | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-06-10 |
| 1396749909 | Erin Shooshan | Physician Assistant | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on SHAUN CUMM.
| 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.