JAYNE LYN O'GORMAN (NPI# 1851400428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851400428 |
| Entity Type | Individual |
| Full Name | JAYNE LYN O'GORMAN |
| Credential | RPA-C |
| Practice Address |
203 Union Ave Holbrook NY 11741-1704 |
| Practice Telephone | 6315855858 |
| Practice Fax Number | 6315856362 |
| Mailing Telephone | 6315855858 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
007576-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
203 UNION AVE |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631693 | Kenneth R. Barry | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2005-12-29 |
| 1578115382 | Nicole Christine Tessar | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2019-07-11 |
| 1114408887 | Christine Danielle Esposito | Physician Assistant | 203 Union Ave, Holbrook, NY 11741 | 2018-08-22 |
| 1134628183 | Joyce Ann Harris | Nurse Practitioner | 203 Union Ave, Holbrook, NY 11741-1704 | 2018-02-06 |
| 1952844136 | Stephanie Joanne Luca | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2016-11-21 |
| 1467790600 | James Taggart | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2013-01-23 |
| 1750567798 | Christopher J Jerome | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2008-01-19 |
| 1881811446 | Lawrence Michael Herman | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2007-04-18 |
| 1043355159 | First Choice Medical Pllc | Internal Medicine | 203 Union Ave, Holbrook, NY 11741-1704 | 2007-02-20 |
| 1609988211 | Lawrence S. Goldman | Internal Medicine | 203 Union Ave, Holbrook, NY 11741-1704 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801824396 | Thomas John Williams | Physician Assistant | 4 Bruce Rd, -, Holbrook, MA 02343-1263 | 2006-06-30 |
| 1114408887 | Christine Danielle Esposito | Physician Assistant | 203 Union Ave, Holbrook, NY 11741 | 2018-08-22 |
| 1790959302 | Tina Marie Lafemina | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-15 |
| 1508039520 | Jeanne Marie Schaefer | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1578736591 | Laura Mcdowell | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1366615395 | Patricia J. Sondgeroth | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1871766808 | Michele M Welch | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1194998203 | Barbara Loretta Kolk-seda | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-09 |
| 1750567798 | Christopher J Jerome | Physician Assistant | 203 Union Ave, Holbrook, NY 11741-1704 | 2008-01-19 |
| 1801093604 | Robert S. Dawson | Physician Assistant | 2109 Navajo Blvd, Holbrook, AZ 86025-0000 | 2007-06-27 |
| Find all providers in HOLBROOK | ||||
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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.