COLIN MICHAEL KING (NPI# 1760043574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760043574 |
Entity Type | Individual |
Full Name | COLIN MICHAEL KING |
Practice Address |
135 Somerset Rd Syracuse NY 13224-1961 |
Practice Telephone | 3155584758 |
Mailing Telephone | 3155584758 |
Enumeration Date | 2019-06-24 |
Last Update Date | 2019-11-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
024130 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558757674 | Colin King | Emergency Medicine | 619 19th St S, Birmingham, AL 35249-1998 | 2015-04-15 |
1144344417 | Colin F King | Psychologist | 34841 Veterans Plz, Wayne, MI 48184-1733 | 2007-03-19 |
Street Address |
135 SOMERSET RD |
City | SYRACUSE |
State | NY |
Zip Code | 13224-1961 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598329534 | Judie Lyn Gordon-louison | Registered Nurse | 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 | 2019-04-25 |
1669942363 | Julie E. Clonan | Speech-Language Pathologist | 3049 E. Genesee St., Syracuse, NY 13224 | 2018-11-26 |
1043604762 | Heather Lynn Blum | Licensed Practical Nurse | 120 Niven Street, Syracuse, NY 13224 | 2015-03-19 |
1912226523 | Florence Delisi | Licensed Practical Nurse | 2315 East Fayette St, Syracuse, NY 13224 | 2010-05-21 |
1336476563 | Kimberlee Anne Difulio | Licensed Practical Nurse | 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 | 2009-11-09 |
1134371081 | Amy Lynn Ezekiel | Speech-Language Pathologist | 3049 East Genesee Street, Syracuse, NY 13224 | 2008-10-22 |
1104951490 | Daniel Stephen Delluomo | Dentist | 3175 East Genesee St, Suite 2, Syracuse, NY 13224 | 2007-02-23 |
1447317037 | Fumiyo Hirano | Social Worker | 182 Edgehill Road, Syracuse, NY 13224 | 2007-01-02 |
1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
1235222530 | Bernadine Alese Martin | Dentist | 1125 Salt Springs Road, Syracuse, NY 13224 | 2006-10-02 |
Find all providers in zip 13224 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
1346657251 | Jessica Lynn Demauro | Physician Assistant | 111 Waverly Avenue, Syracuse, NY 13244 | 2014-07-14 |
1982664876 | Vincent M. Gemelli | Physician Assistant | 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 | 2006-03-24 |
1245210129 | Benjamin I Connor | Physician Assistant | 2700 Court St, Syracuse, NY 13208-3295 | 2006-01-18 |
1326020033 | Michelle Margaret Ederer | Physician Assistant | 3504 W Genesee St, Syracuse, NY 13219-2008 | 2005-11-17 |
1689672230 | Robert D Kirk | Physician Assistant | 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 | 2005-07-08 |
1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
1568022853 | Chelsea Clareann Yager | Physician Assistant | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-06-18 |
1104308253 | Diana Maria Ramirez | Physician Assistant | 750 E Adams St, Syracuse, NY 13210-2306 | 2018-09-05 |
1194207241 | Rebekah Schu | Physician Assistant | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2018-09-05 |
Find all providers in SYRACUSE |
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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.