MRS. ELIZABETH ROSE AHERN (NPI# 1821195157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821195157 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ROSE AHERN |
| Credential | RPA-C |
| Practice Address |
3384 Route 22 Peru NY 12972 |
| Mailing Address |
60 Ahern Rd Saranac NY 12981-2719 |
| Practice Telephone | 5186438008 |
| Practice Fax Number | 5186438090 |
| Mailing Telephone | 5182937401 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
009293 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02149273 | 05 | |
| NY | BLUE SHIELD NENY | 000416869005 | 01 |
| Street Address |
3384 ROUTE 22 |
| City | PERU |
| State | NY |
| Zip Code | 12972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780045724 | Jennifer Kanaly | Nurse Practitioner | 287 John Boswell Rd, Peru, NY 12972 | 2016-03-18 |
| 1275928467 | Tami Trombley | Counselor | 3681 State Roue 9, Peru, NY 12972 | 2015-04-03 |
| 1740568880 | Alison Rosenbaum | Counselor | 12 Elm Street, Peru, NY 12972 | 2011-07-22 |
| 1134422801 | Katherine V Lewis | Speech-Language Pathologist | 17 School Street, Peru Elementary School, Peru, NY 12972 | 2010-12-17 |
| 1295036135 | Mary Anne Cox | Social Worker | 13 Elm St, Peru Community Church, Peru, NY 12972 | 2010-11-09 |
| 1518122480 | Euclid Howard Jones | Dermatology | 436 Mannix Road, Peru, NY 12972 | 2008-07-21 |
| 1518136001 | Adirondack Medical Practice LLC | Nurse Practitioner | 3384 Rt 22, Peru, NY 12972 | 2008-02-28 |
| 1619020963 | Anna Theresa D'angelo | Physician Assistant | 9 Woodland Dr, Peru, NY 12972 | 2007-01-19 |
| 1982751830 | Sandra Marie Harris | Nurse Practitioner | 9 Elm Street, Peru, NY 12972 | 2007-01-04 |
| 1679684856 | Thomas Clinton Lamar | Dentist | 2970 Main St, Peru, NY 12972 | 2006-08-31 |
| Find all providers in zip 12972 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306869672 | Adirondack Healthcare Associates, LLC | Physician Assistant | 3384 State Route 22, Peru, NY 12972-5305 | 2006-07-26 |
| 1467484873 | Robin Marie Hinson | Physician Assistant | 3384 State Route 22, Peru, NY 12972-5305 | 2006-07-07 |
| 1144266578 | Rachel L Colby | Physician Assistant | 4231 Progress Blvd, Suite 4, Peru, IL 61354-1193 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.