STEPHANIE MARIE PELTZ (NPI# 1770810228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770810228 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE PELTZ |
| Credential | RPA-C |
| Practice Address |
179 N Broad St Norwich NY 13815-1019 |
| Practice Telephone | 6073374034 |
| Practice Fax Number | 6073362167 |
| Mailing Telephone | 6073374034 |
| Mailing Fax Number | 6073362167 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 013535-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
179 N BROAD ST |
| City | NORWICH |
| State | NY |
| Zip Code | 13815-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431993 | Ronald H Sacks | Radiology | 179 N Broad St, Norwich, NY 13815-1019 | 2005-07-15 |
| 1770138448 | Jessica Marie Banning | Physical Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2019-08-08 |
| 1467007799 | Sayde Shea Gaydorus | Occupational Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2019-08-05 |
| 1336625243 | Alyssa Clare Macintosh | Obstetrics & Gynecology | 179 N Broad St, Norwich, NY 13815-1019 | 2018-07-13 |
| 1568975159 | Chenango Memorial Hospital Inc | Clinic/Center | 179 N Broad St, Norwich, NY 13815-1019 | 2017-11-06 |
| 1154831295 | Janice Minutti | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2017-10-03 |
| 1538678388 | Ektaben Miteshkumar Chauhan | Physical Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-25 |
| 1194234005 | Kristen Kay Menard | Nurse Practitioner | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-22 |
| 1679092779 | Lindsay Jae Skiechs | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-11 |
| 1154771681 | Nicholas Trinkle | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304752 | Amanda Butler | Social Worker | Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 | 2019-09-10 |
| 1235793548 | Kay Marie Drebert | Social Worker | Chenango County Community Mental Hygiene Services - Cou, Suite 42, Norwich, NY 13815 | 2019-04-23 |
| 1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
| 1801387543 | Heather Rae Kolb | Social Worker | 5 Court St. Suite 42, Noriwch, NY 13815 | 2018-05-29 |
| 1386162006 | Courtney Jean Brown | Licensed Practical Nurse | 131 Railroad Ave, Norwich, NY 13815 | 2017-09-01 |
| 1891225827 | Fanny Sacks | Chiropractor | 4939 State Hwy 23, Norwich, NY 13815 | 2017-06-13 |
| 1558817916 | Erika J Rossi | Nurse Practitioner | 55 Calvary Drive, Norwich, NY 13815 | 2016-08-26 |
| 1013367341 | Irina Gordeyeva | Social Worker | 5 Court Street Suite 42, Chenango County Behavioral Health Services, Norwich, NY 13815 | 2016-06-17 |
| 1104287390 | Amanda Leigh Scott | Massage Therapist | 409 County Rd 33, Norwich, NY 13815 | 2016-03-15 |
| 1962886119 | Abigail Goings | Speech-Language Pathologist | 54 Borden Ave, C 38, Norwich, NY 13815 | 2015-07-17 |
| Find all providers in zip 13815 | ||||
| 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 |
|---|---|---|---|---|
| 1508404005 | Christina Kvistad | Physician Assistant | 108 New London Tpke Ste 1, Norwich, CT 06360-2645 | 2019-12-16 |
| 1124402847 | Sarah Beaudoin | Physician Assistant | 15 Caribou Dr, Norwich, CT 06360-1711 | 2015-07-13 |
| 1053680819 | Rebecca L Richard | Physician Assistant | 36 Lafayette St, Norwich, CT 06360-3408 | 2011-12-23 |
| 1245462589 | Kelsey Ejzak Caulfield | Physician Assistant | 624 W Main St Ste 140, Norwich, CT 06360-6043 | 2009-08-20 |
| 1477694362 | Kimbery A Meyer | Physician Assistant | 1 Connecticut Ave, Norwich, CT 06360-1501 | 2007-02-12 |
| 1588758395 | Frederick Gerard Deutcsh | Physician Assistant | 4 Newton Ave, Norwich, NY 13815-1153 | 2006-10-03 |
| 1568481653 | Melissa Tworkowsky | Physician Assistant | 33-39 Court St, Norwich, NY 13815-1325 | 2006-07-19 |
| 1679556856 | Patrick J Cullen | Physician Assistant | 79 Wawecus St Ste 101, Norwich, CT 06360-2173 | 2005-11-22 |
| 1811992076 | Lisa Ann White | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2005-06-15 |
| 1073092557 | Devin Stanton | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-08-07 |
| Find all providers in NORWICH | ||||
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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.