MS. MARJORIE NIKKI GEWIRZ (NPI# 1720021918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720021918 |
| Entity Type | Individual |
| Full Name | MS. MARJORIE NIKKI GEWIRZ |
| Credential | PA-C |
| Practice Address |
44 S Main St Surgical Associates Randolph VT 05060-1381 |
| Practice Telephone | 8027282372 |
| Practice Fax Number | 8027282613 |
| Mailing Telephone | 8027282372 |
| Mailing Fax Number | 8027282613 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
055-0030993 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
055-0031029 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0581 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MEDICARE PTAN | 0013358 | 01 |
| VT | 9000284 | 05 |
| Street Address |
44 S MAIN ST SURGICAL ASSOCIATES |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581892 | Paul E Ronish | Pharmacist | 44 S Main St, Randolph, VT 05060-1381 | 2005-10-13 |
| 1619595451 | Molly Weinberg | Counselor | 44 S Main St, Randolph, VT 05060-1381 | 2020-07-08 |
| 1740806793 | Tracy B Webster | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2020-06-24 |
| 1447875786 | Julie Holland | Registered Nurse | 44 S Main St, Randolph, VT 05060-1381 | 2020-06-12 |
| 1992354112 | Minta Trivette | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2019-09-10 |
| 1760971139 | Emily Pizzale | Social Worker | 44 S Main St, Randolph, VT 05060-1381 | 2018-05-01 |
| 1447700919 | David Mathies | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-10-09 |
| 1245683499 | Rachel Salloway | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-07-22 |
| 1700232212 | Gifford Health Care, Inc | Clinic/Center | 44 S Main St, Randolph, VT 05060-1381 | 2016-05-13 |
| 1114372109 | Devin Alexander | Pediatrics | 44 S Main St, Randolph, VT 05060-1381 | 2016-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| 1316128168 | Teresa Rodimon | Counselor | 11 Main Street, Randolph, VT 05060 | 2007-11-21 |
| 1578731279 | August R. Meyer | Psychologist | 8 Mountain Ave, Randolph, VT 05060-1017 | 2008-02-15 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487810750 | Tram Bao Cao | Physician Assistant | 7 Marie Way, Randolph, MA 02368 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1891963179 | Nicole Ernst | Physician Assistant | 555 Washington Highway, Mansfield Orthopedics @ Copley, Morrisville, VT 05661-8972 | 2008-02-20 |
| 1861457806 | Kathleen Thayer Maloney | Physician Assistant | Fahc, 111 Colchester Ave, Burlington, VT 05401-1063 | 2006-04-20 |
| 1538708789 | Sarah Allison Mccabe | Physician Assistant | 1315 Hospital Dr, Saint Johnsbury, VT 05819-9210 | 2020-01-04 |
| 1255849840 | Lisa Ann Eberwein | Physician Assistant | 6 Commons St, Rutland, VT 05701-4651 | 2018-01-17 |
| 1760922454 | Kyle C Craven | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-01 |
| 1669911483 | Jennifer A. O'connor | Physician Assistant | 192 Tilley Dr., Uvm Medical Center - Ortho/spine, S. Burlington, VT 05403 | 2017-02-13 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1972935385 | Timothy Michael Balise | Physician Assistant | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2013-08-07 |
| 1396089751 | Michael P. Higgins | Physician Assistant | 111 Colchester Ave, Uvm Medical Center - Surgery/ct & Trauma, Burlington, VT 05401-1473 | 2012-11-23 |
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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.