Lisa Sousou (NPI# 1255449948, PAC ID# 6002930187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255449948 |
| PAC ID by PECOS | 6002930187 |
| Professional Enrollment ID | I20100826000007 |
| Full Name | Lisa Sousou |
| Organization Legal Name | OSWEGO COUNTY OPPORTUNITIES, INC. |
| Address |
522 S 4th St Suite 500 Fulton NY 13069-2936 |
| Phone Number | 3155984790 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749176436 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 522 S 4th St, Suite 500, Fulton, NY 13069-2936 | 3155984790 | OSWEGO COUNTY OPPORTUNITIES, INC. |
| 10 George St, Oswego, NY 13126-3276 | 3153420888 | OSWEGO COUNTY OPPORTUNITIES, INC. |
| Organization Legal Name | OSWEGO COUNTY OPPORTUNITIES, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dinah M Olson | Physician Assistant | Oswego County Opportunities, Inc. | 10 George St, Oswego, NY 13126-3276 |
| Heather M Shannon | Certified Nurse Midwife (cnm) | Oswego County Opportunities, Inc. | 522 S 4th St, Suite 500, Fulton, NY 13069-2936 |
| Rosemarie L Surowiec | Physician Assistant | Oswego County Opportunities, Inc. | 10 George St, Oswego, NY 13126-3276 |
| Street Address |
522 S 4TH ST SUITE 500 |
| City | FULTON |
| State | NY |
| Zip | 13069-2936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| August R Buerkle Jr. | Orthopedic Surgery | 522 S 4th St, Suite 1400, Fulton, NY 13069-2937 | |
| Zaeem Ansari | Internal Medicine | 522 S 4th St, Suite 1500, Fulton, NY 13069-2937 | |
| Heather M Shannon | Certified Nurse Midwife (cnm) | Oswego County Opportunities, Inc. | 522 S 4th St, Suite 500, Fulton, NY 13069-2936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua H Blodgett | Nurse Practitioner | Liberty Resources Inc. | 1850 Cnty Rte, Suite 57, Fulton, NY 13069 |
| Angelique Chambers | Clinical Social Worker | Liberty Resources Inc. | 1850 Cnty Rte, Suite 57, Fulton, NY 13069 |
| Christian L Holcomb | Family Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Rajeev Saini | Internal Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Katherine Mcphee | Nurse Practitioner | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Suryakant Z Patel | Family Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Brittany J Todd | Physician Assistant | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Sushma Sapkota Pandey | Internal Medicine | Northway Medical Associates, Pllc | 21 N 2nd St, Fulton, NY 13069-1250 |
| Douglas J Dickson | Podiatry | 98 N 2nd St, Suite 101, Fulton, NY 13069-1254 | |
| Karl F Hafner | Family Practice | 98 N 2nd St, Fulton, NY 13069-1254 | |
| Find all physicians in zip 13069 | |||
| City | FULTON |
| Zip Code | 13069 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FULTON + PHYSICIAN ASSISTANT |
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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.