MS. JEAN ANNIE SHOOK (NPI# 1801862933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801862933 |
| Entity Type | Individual |
| Full Name | MS. JEAN ANNIE SHOOK |
| Credential | NP |
| Practice Address |
101 Union Ave Suite 801 Syracuse NY 13203-2761 |
| Mailing Address |
196 E Genesee St Skaneateles NY 13152 |
| Practice Telephone | 3254225358 |
| Practice Fax Number | 3154225358 |
| Mailing Telephone | 3156853206 |
| Mailing Fax Number | 3154225358 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
F302724 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH NOW | 00092545201 | 01 | |
| MUP | 352265 | 01 |
| Street Address |
101 UNION AVE SUITE 801 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124029210 | David Y Eng | Neurological Surgery | 101 Union Ave, Suite 608, Syracuse, NY 13203-2761 | 2005-08-10 |
| 1710396015 | Kirk Kwaczala | Pharmacist | 101 Union Ave, Syracuse, NY 13203-2761 | 2014-08-12 |
| 1902089527 | Melissa Steria | Pharmacist | 101 Union Ave, Syracuse, NY 13203-2761 | 2007-12-06 |
| 1639250962 | Gabriela Canal | Physician Assistant | 101 Union Ave, Suite 608, Syracuse, NY 13203-2761 | 2006-10-17 |
| 1154368629 | Syracuse Urology Associates | Urology | 101 Union Ave, Ste 705, Syracuse, NY 13203-2761 | 2006-06-01 |
| 1457347924 | Marya Gendzielewski | Internal Medicine | 101 Union Ave, Suite 809, Syracuse, NY 13203-2761 | 2005-09-21 |
| 1770579278 | Michael Bowser | Internal Medicine | 101 Union Ave, Suite 607, Syracuse, NY 13203-2761 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760013312 | Rebecca Lea Wells-stowe | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1690 | 2020-02-03 |
| 1770137689 | Ashley Lynn Scofield | Nurse Practitioner | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2019-07-29 |
| 1750805750 | Kevin Wayne Lavine | Nurse Practitioner | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2017-08-01 |
| 1619394285 | William Charles Lombardi | Nurse Practitioner | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2014-03-21 |
| 1184978256 | Olivia King | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2342 | 2012-10-29 |
| 1609160811 | Erika L Fedors | Nurse Practitioner | 750 E Adams St, Suite 8801, Syracuse, NY 13210-2306 | 2011-06-06 |
| 1003938895 | Theresa M Principato | Nurse Practitioner | 736 Irving Ave, Crouse Hospital, Syracuse, NY 13210-1687 | 2007-04-04 |
| 1952421059 | Kolleen Marian Fuller | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2007-03-30 |
| 1922132158 | Susan Felter I | Nurse Practitioner | 4900 Broad Road, Syracuse, NY 13215 | 2007-03-16 |
| 1477684538 | Theresa Mary Humez | Nurse Practitioner | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2007-03-08 |
| 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.