FREDRICK BRUCE CUNNINGHAM (NPI# 1760578603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760578603 |
| Entity Type | Individual |
| Full Name | FREDRICK BRUCE CUNNINGHAM |
| Credential | PA |
| Practice Address |
279 Troy Road Rensselaer NY 12144 |
| Practice Telephone | 5182861922 |
| Practice Fax Number | 5182833225 |
| Mailing Telephone | 5182861922 |
| Mailing Fax Number | 5182833225 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002257 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
279 TROY ROAD |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376636910 | Keith Alan Rebehn | Family Medicine | 279 Troy Road, Rensselaer, NY 12144 | 2006-10-02 |
| 1255871828 | St. Peter's Health Partners Medical Associates, PC | Nutritionist | 279 Troy Road, Family Medical Group, Rensselaer, NY 12144-9518 | 2017-03-02 |
| 1518360635 | Elizabeth Devereux | Nurse Practitioner | 279 Troy Road, Family Medical Group, Rensselaer, NY 12144-9756 | 2014-10-02 |
| 1811244684 | Samaritan Hospital of Troy, New York | Internal Medicine | 279 Troy Road, Rensselaer, NY 12144 | 2012-08-10 |
| 1831283548 | Nicole Ryan | Physician Assistant | 279 Troy Road, Rensselaer, NY 12144 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955567 | Sherisa Moore | Registered Nurse | 17 River Chase Drive, B, Rensselaer, NY 12144 | 2019-10-29 |
| 1811553738 | Joel C Campbell | Licensed Practical Nurse | 419 Northgreenbush Road, Rensselaer, NY 12144 | 2019-05-16 |
| 1063956688 | Ashley F Bertorelli | Physical Therapist | 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 | 2016-12-16 |
| 1184066060 | Stefanie L Walsh | Physical Therapist | 2 Empire Dr Ste 202, Rensselaer, NY 12144 | 2013-07-22 |
| 1821347550 | C & L Transport Inc. | Non-emergency Medical Transport (VAN) | 27 Columbia Street, Rensselaer, NY 12144 | 2012-09-10 |
| 1639448376 | Harry William Letko | Licensed Practical Nurse | 456b North Greenbush Rd, Rensselaer, NY 12144 | 2011-12-27 |
| 1285901827 | Tammy Ellen Barbour | Registered Nurse | 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 | 2011-11-28 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1487820064 | Kathleen Powell | Pharmacist | 501 Columbia Turnpike, Price Chopper, Rensselaer, NY 12144 | 2008-05-05 |
| 1609065788 | Stefan J Fosco | Audiologist | 2 Empire Dr Ste 204, Rensselaer, NY 12144 | 2007-10-15 |
| Find all providers in zip 12144 | ||||
| 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 |
|---|---|---|---|---|
| 1154867620 | Ataul Ghani | Physician Assistant | 53 Columbia Street, St. Peter's Hospital Rensselaer Health Center, Rensselaer, NY 12144-2933 | 2017-01-09 |
| 1558745091 | Colleen Hickey | Physician Assistant | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2015-07-15 |
| 1770970675 | St. Peters Health Partners Medical Associates PC | Physician Assistant | 2 Empire Dr, East Greenbush Ultrasound, Rensselaer, NY 12144-5730 | 2015-04-20 |
| 1831283548 | Nicole Ryan | Physician Assistant | 279 Troy Road, Rensselaer, NY 12144 | 2006-10-03 |
| 1245290626 | Dennis B Cicchino | Physician Assistant | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
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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.