AMANDA STEVENS (NPI# 1760907125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760907125 |
Entity Type | Individual |
Full Name | AMANDA STEVENS |
Credential | PA |
Practice Address |
1731 N Ocean Ave Ste A Medford NY 11763-2670 |
Mailing Address |
560 Northern Blvd Ste 109 Great Neck NY 11021-5100 |
Practice Telephone | 6314742300 |
Enumeration Date | 2017-08-07 |
Last Update Date | 2020-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0211451 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972978070 | Amanda Stevens | Speech-Language Pathologist | 112 W Citrus St, Altamonte Springs, FL 32714-2502 | 2015-12-01 |
1154705150 | Amanda Stevens | Specialist/Technologist | 40300 N Simonton Blvd, Queen Creek, AZ 85140-3164 | 2015-07-20 |
1952629040 | Amanda Lin Stevens | Massage Therapist | Rr 1 Box 315p, Sinks Grove, WV 24976-9385 | 2010-05-13 |
1811500572 | Amanda B. Stevens | Pharmacist | 35 Stateline Rd W, Southaven, MS 38671-1705 | 2020-08-24 |
1346879657 | Amanda Noel Stevens | Pediatrics | 4900 Mueller Blvd Ste 3s.066c, Austin, TX 78723-3079 | 2020-04-07 |
1487205688 | Amanda Stevens | Physical Therapy Assistant | 9701 Monrovia St, Lenexa, KS 66215-1564 | 2019-09-28 |
1124518964 | Amanda J Stevens | Massage Therapist | 6 Varney Rd, Wolfeboro, NH 03894-4338 | 2018-05-17 |
1215456686 | Amanda Stevens | Social Worker | 9351 Grant St Ste 480, Thornton, CO 80229-4375 | 2017-09-16 |
1851830228 | Amanda Stevens | Behavior Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-02-18 |
1962872242 | Amanda Stevens | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2015-09-30 |
Street Address |
1731 N OCEAN AVE STE A |
City | MEDFORD |
State | NY |
Zip Code | 11763-2670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
Find all providers in zip 11763 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154848356 | Alyssa Catherine Griffin | Physician Assistant | 265 Bridgeport Ave, Medford, NY 11763-4018 | 2017-08-28 |
1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
1942491097 | Diana M Loo | Physician Assistant | 940 Royal Ave Unit 420, Medford, OR 97504-6194 | 2007-08-05 |
1821159658 | Dean W Moss | Physician Assistant | 3720 Fieldbrook Ave, Medford, OR 97504-9474 | 2006-12-13 |
1437762333 | Nicole Elisa Gregoire | Physician Assistant | 2900 State St, Medford, OR 97504-8458 | 2020-08-28 |
1043705460 | Hakan Binek | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2018-06-27 |
1659884401 | Savana Marisa Cochrane | Physician Assistant | 520 Medical Center Dr Ste 300, Medford, OR 97504-4316 | 2017-11-14 |
1730692500 | Michael Jaskot | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-14 |
1740792316 | James Zheng Berking | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-03 |
1033588546 | Daniel Neville | Physician Assistant | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2015-09-15 |
Find all providers in MEDFORD |
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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.