Marybeth Zazzera (NPI# 1962498808, PAC ID# 2961588736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1962498808 |
| PAC ID by PECOS | 2961588736 |
| Professional Enrollment ID | I20151110000111 |
| Full Name | Marybeth Zazzera |
| Organization Legal Name | SUSQUEHANNA ANESTHESIA AFFILIATES, PC |
| Address |
156 Corliss Ave Apt 107 Johnson City NY 13790-2071 |
| Phone Number | 6077636735 |
| Gender | F |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4385633882 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 10 -24 Mitchell Ave, Binghamton, NY 13903-1617 | UNITED HEALTH SERVICES HOSPITALS INC | |
| 54 Main St, Candor, NY 13743-1619 | 6076597272 | UNITED HEALTH SERVICES HOSPITALS INC |
| 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 | 6077636735 | SUSQUEHANNA ANESTHESIA AFFILIATES, PC |
| 33 -57 Harrison St, Johnson City, NY 13790-2107 | 6077636101 | UNITED HEALTH SERVICES HOSPITALS INC |
| Organization Legal Name | SUSQUEHANNA ANESTHESIA AFFILIATES, PC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Becky L Arnold | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 55 -57 Harrison St, Johnson City, NY 13790-2143 |
| Sonia A Tenadu | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Mark Rivlin | Anesthesiology | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Todd M Kubesh | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| James G Marra | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Kerriann S Parchment | Anesthesiology | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Isuru U Wijesinghe | Anesthesiology | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Calene Gennett | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Amy B Martin | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Karyn J Lunde | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Street Address |
156 CORLISS AVE APT 107 |
| City | JOHNSON CITY |
| State | NY |
| Zip | 13790-2071 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonia A Tenadu | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Mark Rivlin | Anesthesiology | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Todd M Kubesh | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| James G Marra | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Kerriann S Parchment | Anesthesiology | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Isuru U Wijesinghe | Anesthesiology | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Calene Gennett | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Amy B Martin | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Karyn J Lunde | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Travis G Flanagan | Certified Registered Nurse Anesthetist (crna) | Susquehanna Anesthesia Affiliates, PC | 156 Corliss Ave, Apt 107, Johnson City, NY 13790-2071 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Leigh Middaugh | Physical Therapy | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Andrew James Whittock | Physician Assistant | Osteopathic Pain Management Services LLC | 153 Oakdale Rd, Johnson City, NY 13790-1007 |
| John K Koniuto | Physical Therapy | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Kevin L Hastings Jr. | Internal Medicine | Osteopathic Pain Management Services LLC | 153 Oakdale Rd, Johnson City, NY 13790-1007 |
| Molly C Higgins | Physical Medicine and Rehabilitation | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Lisa Cerutti | Physical Therapy | Bodyworks Physical Therapy LLC | 765 Harry L Dr, Johnson City, NY 13790-1012 |
| Molly Brown | Physical Therapy | Bodyworks Physical Therapy LLC | 765 Harry L Dr, Johnson City, NY 13790-1012 |
| Michelle A Morante | Clinical Social Worker | Calvary Community Wesleyan Church | 780 Harry L Dr, Johnson City, NY 13790-1036 |
| Laura Ward | Clinical Social Worker | Calvary Community Wesleyan Church | 780 Harry L Dr, Johnson City, NY 13790-1036 |
| Gregory T Peake | Physical Therapy | Broome Orthopedic and Sport Physical Therapy | 800 Valley Plz, Suite 9, Johnson City, NY 13790-1046 |
| Find all physicians in zip 13790 | |||
| City | JOHNSON CITY |
| Zip Code | 13790 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JOHNSON CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.