MICHAEL ROBERT NOLAN (NPI# 1871661462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871661462 |
| Entity Type | Individual |
| Full Name | MICHAEL ROBERT NOLAN |
| Credential | MD |
| Practice Address |
8100 Oswego Road Suite 220 Liverpool NY 13090 |
| Practice Telephone | 3156526551 |
| Practice Fax Number | 3156529698 |
| Mailing Telephone | 3156526551 |
| Mailing Fax Number | 3156529698 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 202352 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MVP HEALTHCARE INSURER | 015326 | 01 | |
| NY | 01529900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144552233 | Michael Josepeh Nolan | Specialist/Technologist | 1 College Park Dr, Saint Louis, MO 63141-8660 | 2010-02-01 |
| 1306047527 | Michael John Nolan | Physician Assistant | 310 Pine Hill, Pine Hill, NM 87357 | 2007-05-29 |
| 1174744486 | Michael J Nolan | Dentist | 3633 W. Lake Ave., Ste. #414, Glenview, IL 60026-5804 | 2007-05-02 |
| 1356460257 | Michael Edward Nolan | Dentist | 15 Sherman Ave, Corinth, NY 12822 | 2007-03-29 |
| 1437237641 | Michael Franklin Nolan Sr. | Dentist | 1101 Royal Ave Suite B, Monroe, LA 71201 | 2006-11-02 |
| 1518567957 | Michael Joseph Nolan | Pharmacist | 2201 Michigan Ave, Arnold, MO 63010-2151 | 2020-10-26 |
| 1184245565 | Michael Nolan | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-04-27 |
| 1700417581 | Michael Nolan | Pharmacist | 2215 Fuller Road, Db12, Ann Arbor, MI 48105 | 2020-01-30 |
| 1407334832 | Michael Graeme Nolan | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2018-07-28 |
| 1881119584 | Michael Q Nolan | Counselor | 920 Saratoga Ave Ste 212, San Jose, CA 95129-3408 | 2017-08-03 |
| Street Address |
8100 OSWEGO ROAD SUITE 220 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164597498 | Lauri Ann Fairbanks Doane | Family Medicine | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-21 |
| 1679641617 | Mark John Vanhusen | Family Medicine | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-30 |
| 1891860086 | Sandra Marie Banas | Physician Assistant | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-22 |
| 1194890384 | Kay Lorraine Callahan | Nurse Practitioner | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-22 |
| 1467527655 | John Gerard Obrien | Family Medicine | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-22 |
| 1124193339 | Heather Anne Hudson-delap | Physician Assistant | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-22 |
| 1437224755 | Shawn Eugene Fazio | Family Medicine | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801297320 | Harold Mandel | General Practice | 7608 Oswego Rd, #2057, Liverpool, NY 13089-5001 | 2014-09-16 |
| 1407018286 | Edwin Howard Yarwood | General Practice | 201 3rd St, Liverpool, NY 13088-4946 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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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.