MR. GARY THOMAS SNIFFEN (NPI# 1780293993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780293993 |
| Entity Type | Individual |
| Full Name | MR. GARY THOMAS SNIFFEN |
| Credential | PA-C |
| Practice Address |
50 Leroy St Potsdam NY 13676-1799 |
| Practice Telephone | 3152653300 |
| Mailing Telephone | 3152653300 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 025310 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 LEROY ST |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761801 | Amit J Shanker | Internal Medicine | 50 Leroy St, Potsdam, NY 13676-1786 | 2005-06-22 |
| 1154937431 | Felicity Lynn Love | Occupational Therapist | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-09-22 |
| 1265041073 | Zachary Randall Willis | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-07-28 |
| 1437776176 | Megan Mae O'brien | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-06-29 |
| 1033748355 | Kelsey Miller | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2020-04-07 |
| 1548800196 | Alexandria Fons | Dietitian, Registered | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-01-12 |
| 1235775123 | Kacie Nicole Wentworth | Occupational Therapist | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-11-26 |
| 1326682204 | Megan Lyn Boyea | Speech-Language Pathologist | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-11-04 |
| 1912569955 | Stephanie F Rogers | Hospitalist | 50 Leroy St, Potsdam, NY 13676-1799 | 2019-06-30 |
| 1326608704 | Mary Riley | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| 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 |
|---|---|---|---|---|
| 1649740853 | Anand Shekhar Thakur | Physician Assistant | 6 Drumlin Dr, Potsdam, NY 13676-1612 | 2018-11-30 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1831262567 | Frank Bateman | Physician Assistant | 37 Pierrapont Ave, Potsdam, NY 13676 | 2006-11-17 |
| 1265041073 | Zachary Randall Willis | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-07-28 |
| 1437776176 | Megan Mae O'brien | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-06-29 |
| 1730748419 | Amanda Lynn Agley | Physician Assistant | 37 Pierrepont Ave, Potsdam, NY 13676-2107 | 2019-06-06 |
| 1457847790 | Thomas Crowley Miglietta | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2018-07-10 |
| 1063907848 | Ashley Elizabeth Toohill | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1786 | 2018-06-25 |
| 1477906667 | Jessica Erin Martin | Physician Assistant | 50 Leroy Street, Potsdam, NY 13676-1799 | 2016-07-22 |
| 1023460607 | Heather Munz | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1786 | 2016-07-07 |
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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.