Kerry B Utstein (NPI# 1306928775, PAC ID# 1456459577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1306928775 |
| PAC ID by PECOS | 1456459577 |
| Professional Enrollment ID | I20070613000027 |
| Full Name | Kerry B Utstein |
| Organization Legal Name | UPSTATE DERMATOLOGY, PC |
| Address |
1547 Columbia Tpke Castleton On Hudson NY 12033-9543 |
| Phone Number | 5184794156 |
| Gender | F |
| Credential | PA |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375434046 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330153 | ELLIS HOSPITAL |
| 330047 | ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 | 5184794156 | UPSTATE DERMATOLOGY, PC |
| 461 Clinton St Ext, Suite 1, Schenectady, NY 12305-2425 | 5183747222 | UPSTATE DERMATOLOGY, PC |
| Organization Legal Name | UPSTATE DERMATOLOGY, PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin Cook | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Judith A Baker | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Albert N Huho | Pathology | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Joan L Csaposs | Nurse Practitioner | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Anthony N Gregory | Dermatology | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Doreen T May | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Raju Malla | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Michael Dulay | Nurse Practitioner | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Lindsey Nicole Greenough | Nurse Practitioner | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Christie E Flanagan | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Street Address |
1547 COLUMBIA TPKE |
| City | CASTLETON ON HUDSON |
| State | NY |
| Zip | 12033-9543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin Cook | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Judith A Baker | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Albert N Huho | Pathology | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Joan L Csaposs | Nurse Practitioner | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Richard H S Karpinski | Plastic and Reconstructive Surgery | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 | |
| Anthony N Gregory | Dermatology | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Doreen T May | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Raju Malla | Physician Assistant | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Michael Dulay | Nurse Practitioner | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Lindsey Nicole Greenough | Nurse Practitioner | Upstate Dermatology, PC | 1547 Columbia Tpke, Castleton On Hudson, NY 12033-9543 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Mckeon | Clinical Social Worker | Supportive Care Psychology of Ny PC | 90 N Main St, Castleton, NY 12033-1006 |
| Gloria Mackie | Clinical Social Worker | Supportive Care Psychology of Ny PC | 90 N Main St, Castleton, NY 12033-1006 |
| Shaukat Gulfaraz | General Surgery | 90 N Main St, Castleton, NY 12033-1006 | |
| Deborah A Ciprioni | Physical Therapy | Comprehensive Physical Therapy Solutions P L L C | 81 Miller Rd, Suite 400, Castleton, NY 12033-4036 |
| Taylor Lanoue | Physical Therapy | Comprehensive Physical Therapy Solutions P L L C | 81 Miller Rd, Suite 400, Castleton, NY 12033-4036 |
| Joseph M Bied | Obstetrics/gynecology | 77 Miller Rd, Suite 203, Castleton On Hudson, NY 12033-4040 | |
| Michael A Thomson | Internal Medicine | 77 Miller Rd, Castleton On Hudson, NY 12033-4040 | |
| Wayne C Gravell | Physician Assistant | 81 Miller Rd, Suite 600, S Schodack, NY 12033-4042 | |
| Alison M Brown | Chiropractic | Brown Integrated Chiropractic Pllc | 81 Miller Rd, Suite 500, Castleton, NY 12033-4044 |
| Jason W Brown | Chiropractic | Brown Integrated Chiropractic Pllc | 81 Miller Rd, Suite 500, Castleton, NY 12033-4044 |
| Find all physicians in zip 12033 | |||
| City | CASTLETON ON HUDSON |
| Zip Code | 12033 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CASTLETON ON HUDSON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kerry B Utstein.
| 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.