Jenna Pawloski (NPI# 1659866754, PAC ID# 6002164795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659866754 |
| PAC ID by PECOS | 6002164795 |
| Professional Enrollment ID | I20180813003197 |
| Full Name | Jenna Pawloski |
| Organization Legal Name | SOUTHERN TIER DERMATOLOGY AND AESTHETICS |
| Address |
6 Rhoads Dr Utica NY 13502-6317 |
| Phone Number | 3157332777 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214931815 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6 Rhoads Dr, Utica, NY 13502-6317 | 3157332777 | SOUTHERN TIER DERMATOLOGY AND AESTHETICS |
| Organization Legal Name | SOUTHERN TIER DERMATOLOGY AND AESTHETICS |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karoline Kies | Nurse Practitioner | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Colleen M Crandell | Dermatology | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| Heather K Fisher | Nurse Practitioner | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Lyndsey Carlson | Physician Assistant | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Curt F Fenkl | Dermatology | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| Patrick Crandell | Physician Assistant | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Sphoorthi R Jinna | Dermatology | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Jennifer Fabrizi | Physician Assistant | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Michelle Tagliaferri | Physician Assistant | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| James A Terzian | Pathology | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Street Address |
6 RHOADS DR |
| City | UTICA |
| State | NY |
| Zip | 13502-6317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen M Crandell | Dermatology | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| Curt F Fenkl | Dermatology | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| Michelle Tagliaferri | Physician Assistant | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| 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 | |
| Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Jonathan D Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| 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 |
| Find all physicians in zip 13502 | |||
| City | UTICA |
| Zip Code | 13502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | UTICA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jenna Pawloski.
| 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.