DONNA M WIDRICK


Address: 5719 Widewaters Pkwy, De Witt, NY 13214-1880
Phone: 3152513100

DONNA M WIDRICK (NPI# 1851359343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851359343
Entity Type Individual
Full Name DONNA M WIDRICK
Other Name DONNA PITKIN
Credential NP
Practice Address 5719 Widewaters Pkwy
De Witt
NY 13214-1880
Mailing Address 5719 Widewaters Pkwy
Syracuse
NY 13214-1880
Practice Telephone 3152513100
Practice Fax Number 3154499923
Mailing Telephone 3152513100
Mailing Fax Number 3154499923
Enumeration Date 2006-05-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
330178 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5719 WIDEWATERS PKWY
City DE WITT
State NY
Zip Code 13214-1880

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700170545 Fitness Forum Physical and Occupational Therapy, Pllc Physical Therapist 5719 Widewaters Pkwy, De Witt, NY 13214-1985 2011-06-08
1326339599 Jill A Spinoso Physical Therapist 5719 Widewaters Pkwy, De Witt, NY 13214-1985 2011-04-22
1437107067 Kristin K Parmeter Nurse Practitioner 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-05-05
1992763239 Janice A Sharkey Nurse Practitioner 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-05-03
1316904543 Stephen C Robinson Orthopaedic Surgery 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-05-01
1255398491 Walter H Short Orthopaedic Surgery 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-05-01
1396702023 Warren E Wulff Orthopaedic Surgery 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-04-27
1518924224 I. Michael Vella Orthopaedic Surgery 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-04-27
1144287749 P James Newman Orthopaedic Surgery 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-04-27
1285691139 John F Parker Orthopaedic Surgery 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881108983 Nathan Fowler Dentist 3469 Erie Blvd E # 3a, Syracuse, NY 13214 2017-11-28
1841716875 Walgreen Co Durable Medical Equipment & Medical Supplies 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 2017-08-22
1124568993 Jose Alvarez Dentist 3425 Erie Blvd E Ste 1, De Witt, NY 13214 2017-02-27
1205258365 Margaret Miller Social Worker 4101 E. Genesee St, Syracuse, NY 13214 2014-01-09
1124367669 Marni Marie Millet Counselor 4309 E Genesee St Ste 4, Syracuse, NY 13214 2013-02-04
1477817401 Runa Acharya Internal Medicine 3229 East Genesee St, Syracuse, NY 13214 2012-06-25
1487949913 Angela Patricia Mojica Sanabria Pediatrics 3229 East Genesee St Ste 1, Syracuse, NY 13214 2011-06-13
1346530169 Affinity Rehabilitation LLP Clinic/Center 18 Arbor Lane, Dewitt, NY 13214 2011-04-13
1003105768 David William Hansen Pediatrics 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 2011-04-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023082575 Debra Charlene West Nurse Practitioner 609 W 13th St, De Witt, AR 72042-3001 2006-02-13
1114145893 Dana R. Reed Nurse Practitioner 1641 S Whitehead Dr, De Witt, AR 72042-2994 2007-04-20
1437107067 Kristin K Parmeter Nurse Practitioner 5719 Widewaters Pkwy, De Witt, NY 13214-1880 2006-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184225880 Aleksandr Gurgov Nurse Practitioner 740 E 9th St, Brooklyn, NY 11230-2202 2020-11-08
1437750171 Dana Alberico Lonis Nurse Practitioner 246 Waldorf Pkwy, Syracuse, NY 13224-2118 2020-11-07
1396346136 Amarachukwu U Egbujor Nurse Practitioner 565 Pine St, Brooklyn, NY 11208-3901 2020-11-06
1568063378 Valerie Cantave Nurse Practitioner 152 Somerset Dr, Suffern, NY 10901-6904 2020-11-06
1366043259 Lora Hong Nurse Practitioner 55 Underhill Rd, Scarsdale, NY 10583-1040 2020-11-05
1235730102 Lane Marie Knight Nurse Practitioner 8145 Rapallo Way, Clay, NY 13041-8893 2020-11-05
1073114112 Karen Liu Nurse Practitioner 154 Bay 35th St, Brooklyn, NY 11214-5308 2020-11-04
1871194027 Wai Ying Chan Nurse Practitioner 659 Britton Ave, Staten Island, NY 10304-4463 2020-11-04
1063013258 Iris Massiel Garcia Nurse Practitioner 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 2020-11-04
1104427525 Jeanine R Williams Nurse Practitioner 4213 Foster Ave, Brooklyn, NY 11203-5711 2020-11-03
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Competitor

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City DE WITT
Zip Code 13214

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Dataset Information

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.

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