JOSEPH ANDUSKO (NPI# 1831115351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831115351 |
| Entity Type | Individual |
| Full Name | JOSEPH ANDUSKO |
| Credential | P.A. |
| Practice Address |
46 Harrison St Johnson City NY 13790-2120 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905-1040 |
| Practice Telephone | 6077294942 |
| Practice Fax Number | 6077297516 |
| Mailing Telephone | 6077298156 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
007838 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
007838 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02160570 | 05 |
| Street Address |
46 HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085497 | Saeed Bajwa | Neurological Surgery | 46 Harrison St, Johnson City, NY 13790 | 2005-12-27 |
| 1174135305 | Milton Harding | Nurse Practitioner | 46 Harrison St, Johnson City, NY 13790-2120 | 2020-08-19 |
| 1265987325 | Upstate University Clinical Campus Medical Group At Binghamton, Inc. | Psychiatry & Neurology | 46 Harrison St, Johnson City, NY 13790-2120 | 2016-08-18 |
| 1821493263 | Oana Stingu | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2014-10-28 |
| 1700297918 | Diana Rasmussen | Nurse Practitioner | 46 Harrison St, Southern New York Neurosurgical Group, P.C., Johnson City, NY 13790-2120 | 2014-05-12 |
| 1700096583 | Renny Stocum | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2007-05-23 |
| 1225058530 | Christine Snyder | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2006-07-20 |
| 1306866983 | Joseph Garrehy | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2006-07-19 |
| 1932125788 | Southern New York Neurosurgical Group PC | Specialist | 46 Harrison St, Johnson City, NY 13790-2120 | 2006-07-14 |
| 1053374835 | Barry J Pollack | Neurological Surgery | 46 Harrison St, Johnson City, NY 13790-2120 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
| 1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
| 1639127327 | Tracy Lynn Gaudu | Physician Assistant | 701 Med Tech Parkway, Suite 300, Johnson City, TN 37604-2365 | 2006-05-04 |
| 1164408712 | Christopher Devon Williamson | Physician Assistant | 30 Harrison St Ste 460, Johnson City, NY 13790 | 2005-12-15 |
| 1851398176 | Christopher Michael Hendrix | Physician Assistant | 300 Wesley St, Johnson City, TN 37601-1722 | 2005-07-01 |
| 1275175234 | Sara Marie Pifer | Physician Assistant | 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 | 2019-10-11 |
| 1821493263 | Oana Stingu | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2014-10-28 |
| 1588834360 | Rickey Allen Ramsey | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1765 | 2008-03-07 |
| 1366452914 | East Tennessee Brain & Spine Center, PC | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2006-08-08 |
| 1679526669 | Christian D. Tvetenstrand Md, Pllc | Physician Assistant | 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 | 2006-05-18 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.