Maurya Datka (NPI# 1548719057, PAC ID# 5799069134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548719057 |
| PAC ID by PECOS | 5799069134 |
| Professional Enrollment ID | I20170301002631 |
| Full Name | Maurya Datka |
| Organization Legal Name | ELLIS HOSPITAL |
| Address |
600 Mcclellan St Schenectady NY 12304-1009 |
| Phone Number | 5183822200 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890607410 |
| Number of Group Practice Members | 274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330153 | ELLIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 Mcclellan St, Schenectady, NY 12304-1009 | 5183822200 | ELLIS HOSPITAL |
| Organization Legal Name | ELLIS HOSPITAL |
| Physicians | 256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miklos P Garczynski | Clinical Social Worker | Ellis Hospital | 216 Lafayette St, Schenectady, NY 12305-2408 |
| Neil Ekengren | Physician Assistant | Ellis Hospital | 200 Harborside Dr, Suite 102, Schenectady, NY 12305-1020 |
| Frank H Westad | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Mina Sun | Internal Medicine | Ellis Hospital | 115 Saratoga Rd, Glenville, NY 12302-4211 |
| Karyn B D Amico | Physician Assistant | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Malene K Ingram | General Surgery | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Marty Sample | Physician Assistant | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Saddam S Abisse | Cardiovascular Disease (cardiology) | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Alexander R Scaringe | Physician Assistant | Ellis Hospital | 1101 Nott St, Emergency Dept, Schenectady, NY 12308-2425 |
| Ralph S Feinstein | Family Medicine | Ellis Hospital | 1101 Nott St, Schenectady, NY 12308-2425 |
| Street Address |
600 MCCLELLAN ST |
| City | SCHENECTADY |
| State | NY |
| Zip | 12304-1009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irene Roman | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Ling Ling Shih | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Barbara Elliott Capogna | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Bradley J Gornstein | Pathology | Schenectady Pathology Associates PC | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Cody Wheeler | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Miranda Lynn Dunham | Nurse Practitioner | Ellis Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Dana Catharine Nevedal | Psychologist, Clinical | 600 Mcclellan St, Schenectady, NY 12304-1009 | |
| Kelly Barney | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Alexander Tenenboym | Anesthesiology | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Michael A Depetrillo Jr. | Anesthesiology | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Higgins | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Paul D Damico | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Colleen M Dibble | Internal Medicine | Ellis Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Susan P Demarest | Internal Medicine | Ellis Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Shelley L Gordon | Clinical Social Worker | Ellis Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Hwayeon S Kim | Nurse Practitioner | Ellis Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Lawrence Routenberg | Anesthesiology | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Edward Bonk | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Adrianna M Vannucci | Psychiatry | Ellis Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Lauren Viagrande | Certified Registered Nurse Anesthetist (crna) | Schenectady Anesthesia Associates, P.C. | 600 Mcclellan St, Schenectady, NY 12304-1009 |
| Find all physicians in zip 12304 | |||
| City | SCHENECTADY |
| Zip Code | 12304 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SCHENECTADY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Maurya Datka.
| 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.