BETSY L STRACK (NPI# 1750464160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750464160 |
| Entity Type | Individual |
| Full Name | BETSY L STRACK |
| Credential | P.A. |
| Practice Address |
6763 Erie Rd Derby NY 14047-9670 |
| Practice Telephone | 7169472222 |
| Practice Fax Number | 7169472223 |
| Mailing Telephone | 7169472222 |
| Mailing Fax Number | 7169472223 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02865832 | 05 |
| Street Address |
6763 ERIE RD |
| City | DERBY |
| State | NY |
| Zip Code | 14047-9670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077590 | Johnna Coleman | Nurse Practitioner | 6763 Erie Rd, Derby, NY 14047-9670 | 2017-11-29 |
| 1831440932 | John Mulawka Do, PC | Pediatrics | 6763 Erie Rd, Derby, NY 14047-9670 | 2012-09-28 |
| 1982923165 | Elizabeth Gehrke | Nurse Practitioner | 6763 Erie Rd, Derby, NY 14047-9670 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
| 1114219607 | Frederick Eckles Jr. | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-05-03 |
| 1477887560 | Henna M Patel | Family Medicine | 7060 Erie Rd Suite 100, Derby, NY 14047 | 2009-09-23 |
| 1134300668 | Lisa M Bogner | Pharmacist | 3590 Union Rd, Cheektowaga, NY 14047 | 2007-11-27 |
| 1760546378 | James G Stengel | Internal Medicine | 1667 South Creek Rd, Derby, NY 14047 | 2006-12-20 |
| 1093888463 | Paul J Caro Md | Family Medicine | 7008 Erie Rd Rte 5, Suite A, Derby, NY 14047 | 2006-11-15 |
| 1417037755 | John M Mulawka IIi | Pediatrics | 6763 Erie Road Rt 5, Derby, NY 14047 | 2006-10-17 |
| 1720367782 | Michelle M Sirolli | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1770862682 | Janet E Pajak | Licensed Practical Nurse | 6816 Erie Road, Derby, NY 14047 | 2011-08-09 |
| 1497828461 | Harmonia Collaborative Care Inc | Clinic/Center | 6722 Erie Rd, Derby, NY 14047 | 2006-11-16 |
| Find all providers in zip 14047 | ||||
| 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 |
|---|---|---|---|---|
| 1770025132 | Cayla Cirsten Daniele | Physician Assistant | 300 Seymour Ave Suite 102, Derby, CT 06418-1343 | 2016-11-16 |
| 1356704092 | Rock Road Emergency Physicians LLC | Physician Assistant | 63rd St S. Rock Road, Derby, KS 67227 | 2016-03-31 |
| 1649665936 | Jacqueline Braunworth | Physician Assistant | 68 Division St, Derby, CT 06418-1447 | 2015-04-02 |
| 1861600017 | Timothy L. Weide | Physician Assistant | 1121 N College Park St, Suite # 400, Derby, KS 67037-3665 | 2007-05-20 |
| 1619933389 | Leon M Garcia | Physician Assistant | 130 Derby Ave, Derby, CT 06418-2010 | 2006-04-21 |
| 1679562664 | Debra Sue Longbine | Physician Assistant | 6970 Erie Rd, Derby, NY 14047-9591 | 2005-10-21 |
| 1093200644 | Jana L Scripp | Physician Assistant | 1640 E Tall Tree Rd, Derby, KS 67037 | 2018-06-26 |
| 1194217570 | Brianna Marie Weber | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2018-06-01 |
| 1205355385 | Codie Marie Armstead | Physician Assistant | 1824 E James St, Derby, KS 67037 | 2017-09-11 |
| 1710418017 | Amanda Nicole Rea | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2017-03-27 |
| Find all providers in DERBY | ||||
Please comment or provide details below to improve the information on BETSY L STRACK.
| 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.