SARA L GLEASMAN-DESIMONE (NPI# 1841284064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841284064 |
| Entity Type | Individual |
| Full Name | SARA L GLEASMAN-DESIMONE |
| Credential | NP |
| Practice Address |
5112 W Taft Rd Suite H Liverpool NY 13088-4868 |
| Practice Telephone | 3154523235 |
| Practice Fax Number | 3154525726 |
| Mailing Telephone | 3154523235 |
| Mailing Fax Number | 3154525726 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2012-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F304003 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5112 W TAFT RD SUITE H |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202641 | Gastroenterology & Hepatology of Central New York, PC | Anesthesiology | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2005-08-19 |
| 1073996567 | Matthew Romano | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-07-02 |
| 1912388752 | Carolyn Gaulke | Nurse Practitioner | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2015-06-17 |
| 1942645213 | Sarah Barnhardt | Massage Therapist | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2013-05-01 |
| 1598041766 | Melanie F Salanger | Physician Assistant | 5112 W Taft Rd, Suite H, Liverpool, NY 13088-4868 | 2011-11-01 |
| 1649410762 | George Elbayadi | Anesthesiology | 5112 W Taft Rd, Ste H, Liverpool, NY 13088-4868 | 2009-03-02 |
| 1891934527 | Theresa Hobbs | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2009-02-19 |
| 1669654323 | Gregory Wolanski | Pharmacist | 5112 W Taft Rd, Suite A, Liverpool, NY 13088-4868 | 2007-12-04 |
| 1912193186 | Renee L Pierce | Social Worker | 5112 W Taft Rd, Liverpool, NY 13088-4868 | 2007-09-20 |
| 1669667671 | Syracuse Hematology Oncology PC | Internal Medicine | 5112 W Taft Rd, Suite J, Liverpool, NY 13088-4868 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518021443 | Karen Sue Pulvino | Nurse Practitioner | 3585 Redhead Ter, Liverpool, NY 13090-1083 | 2006-12-22 |
| 1639164346 | Margaret A Donovan | Nurse Practitioner | 7449 Morgan Rd, Liverpool, NY 13090-3973 | 2005-09-19 |
| 1962925495 | Jana Dosztan-reiss, Inc. | Nurse Practitioner | 4800 Bear Rd, Liverpool, NY 13088-4604 | 2017-07-17 |
| 1629125976 | Jana Marie Dosztan-reiss | Nurse Practitioner | 4800 Bear Rd, Liverpool, NY 13088-4604 | 2007-01-05 |
| 1952392656 | Catherine Powell | Nurse Practitioner | 4820 W Taft Rd, Suite 208, Liverpool, NY 13088-2800 | 2005-11-02 |
| 1992791743 | Tina Winter | Nurse Practitioner | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-26 |
| 1538155387 | Dana Zaborowski | Nurse Practitioner | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-26 |
| 1578564548 | Megan C Cross | Nurse Practitioner | 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 | 2005-08-02 |
| 1780683979 | Scott D Mendzef | Nurse Practitioner | 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 | 2005-07-19 |
| 1669470951 | Lauren C Derrick | Nurse Practitioner | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2005-07-11 |
| Find all providers in LIVERPOOL | ||||
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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.