Anita Lightburn (NPI# 1689808529, PAC ID# 1254584139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1689808529 |
| PAC ID by PECOS | 1254584139 |
| Professional Enrollment ID | I20121228000042 |
| Full Name | Anita Lightburn |
| Organization Legal Name | SYRACUSE UNIVERSITY |
| Address |
621 Skytop Rd Suite 1200 Syracuse NY 13244-5290 |
| Phone Number | 3154434485 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 8527191626 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 | 3154434485 | SYRACUSE UNIVERSITY |
| 621 Skytop Rd, Syracuse, NY 13244-5290 | 3154434485 | SYRACUSE UNIVERSITY |
| Organization Legal Name | SYRACUSE UNIVERSITY |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramani Voleti | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Sue Ellen Maxfield | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Kimberly Lamparelli | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Tammy Marie Kordas | Qualified Audiologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Kristen L Kennedy | Qualified Audiologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Jeanmarie Ripke | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Joseph T Pellegrino | Qualified Audiologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Greta Sjolie | Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Dana Levitt | Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Syracuse, NY 13244-5290 |
| Street Address |
621 SKYTOP RD SUITE 1200 |
| City | SYRACUSE |
| State | NY |
| Zip | 13244-5290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramani Voleti | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Sue Ellen Maxfield | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Kimberly Lamparelli | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Tammy Marie Kordas | Qualified Audiologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Kristen L Kennedy | Qualified Audiologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Jeanmarie Ripke | Qualified Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Joseph T Pellegrino | Qualified Audiologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Greta Sjolie | Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Suite 1200, Syracuse, NY 13244-5290 |
| Dana Levitt | Speech Language Pathologist | Syracuse University | 621 Skytop Rd, Syracuse, NY 13244-5290 |
| City | SYRACUSE |
| Zip Code | 13244 |
| Specialty | SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | SYRACUSE + SPEECH LANGUAGE PATHOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.