DR. GREGORY BERNARD SHANKMAN (NPI# 1861599813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861599813 |
| Entity Type | Individual |
| Full Name | DR. GREGORY BERNARD SHANKMAN |
| Credential | MD |
| Practice Address |
1418 Genesee St Utica NY 13502-5101 |
| Mailing Address |
Po Box 8190 Utica NY 13505-8190 |
| Practice Telephone | 3157970111 |
| Practice Fax Number | 3157353459 |
| Mailing Telephone | 3157970111 |
| Mailing Fax Number | 3157353459 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 134913 | NY | Other Service Providers |
| Street Address |
1418 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255458543 | Gregory B. Shankman, M.d., P.C. | Specialist | 1418 Genesee St, Utica, NY 13502-5101 | 2007-03-23 |
| 1326123969 | Kevin John Lynch | Physician Assistant | 1418 Genesee St, Utica, NY 13502-5101 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154798122 | Heather Gaetano | Specialist | 105 Southgate Dr, Utica, NY 13501-2700 | 2015-08-26 |
| 1376933705 | Kimberly Fisher | Specialist | 1321 Cleveland Broom Rd, Utica, MS 39175-9437 | 2015-01-22 |
| 1922363316 | Erica Nicole Hagan | Specialist | 130 Lomond Court, Utica, NY 13502 | 2012-07-11 |
| 1154561066 | Frederic S Joyce Md PC | Specialist | 10 Sherman Cir, Utica, NY 13501-5809 | 2009-03-05 |
| 1871626978 | Marilyn E Cyr | Specialist | 6449 Mallory Rd, Utica, NY 13502-6705 | 2007-03-14 |
| 1003441593 | Lindsay L Walker | Specialist | 1601 Armory Dr, Utica, NY 13501-5405 | 2020-03-05 |
| 1013540780 | Teresa Degrace | Specialist | 507 Kent St, Utica, NY 13501-2317 | 2020-02-20 |
| 1063068211 | Jessalynn M Roman | Specialist | 130 Lomond Ct, Utica, NY 13502-5957 | 2019-08-14 |
| 1861054306 | Brittany E Zayas | Specialist | 130 Lomond Ct Ste 1, Utica, NY 13502-5951 | 2019-07-05 |
| 1528548377 | Deborah Mott | Specialist | 130 Lomond Ct, Utica, NY 13502-5957 | 2018-08-20 |
| Find all providers in UTICA | ||||
Please comment or provide details below to improve the information on DR. GREGORY BERNARD SHANKMAN.
| 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.