Jonathan D Colino (NPI# 1962736074, PAC ID# 5991997926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962736074 |
| PAC ID by PECOS | 5991997926 |
| Professional Enrollment ID | I20101008001205 |
| Full Name | Jonathan D Colino |
| Organization Legal Name | EXTEND CARE FAMILY HEALTH NP PLLC |
| Address |
101 Herkimer Rd Utica NY 13502-2311 |
| Phone Number | 3157246144 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759541709 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330218 | OSWEGO HOSPITAL |
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| 330136 | BASSETT HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 101 Herkimer Rd, Utica, NY 13502-2311 | 3157246144 | EXTEND CARE FAMILY HEALTH NP PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 91% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 10% | |
| MIPS_EC_326_overall | Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | 97% |
| Organization Legal Name | EXTEND CARE FAMILY HEALTH NP PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Street Address |
101 HERKIMER RD |
| City | UTICA |
| State | NY |
| Zip | 13502-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry F Lutz | Optometry | 710 Horatio St, Suite 700, Utica, NY 13502-1461 | |
| Edward J Casper Jr. | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1605 | |
| Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
| Salvatore Capuana | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1661 | |
| David M Abdoo | Physical Therapy | 430 Coventry Ave, Utica, NY 13502-1764 | |
| Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Komgrit Chukiert | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Thomas E Gwilt | Nurse Practitioner | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Ghassan Koussa | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Elizabeth M Cooley | Family Medicine | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Find all physicians in zip 13502 | |||
| City | UTICA |
| Zip Code | 13502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | UTICA + NURSE PRACTITIONER |
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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.