Randy Czternastek (NPI# 1922239086, PAC ID# 6002962800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1922239086 |
| PAC ID by PECOS | 6002962800 |
| Professional Enrollment ID | I20091210000459 |
| Full Name | Randy Czternastek |
| Organization Legal Name | AMIDON MEDICAL GROUP PLLC |
| Address |
2 Ellinwood Dr New Hartford NY 13413-1102 |
| Phone Number | 3155075081 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254564719 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330245 | ST ELIZABETH MEDICAL CENTER |
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 3155075081 | AMIDON MEDICAL GROUP PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| 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 | 100% |
| Organization Legal Name | AMIDON MEDICAL GROUP PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul F Palumbo | Family Medicine | Amidon Medical Group Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1102 |
| Jeffrey D Amidon | Internal Medicine | Amidon Medical Group Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1102 |
| Street Address |
2 ELLINWOOD DR |
| City | NEW HARTFORD |
| State | NY |
| Zip | 13413-1102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul F Palumbo | Family Medicine | Amidon Medical Group Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1102 |
| Ganga R Nair | Ophthalmology | Costello Eye Physicians and Surgeons, Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1102 |
| Brij M Sood | Radiation Oncology | Associated Medical Professionals of Ny Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1110 |
| Jeffrey D Amidon | Internal Medicine | Amidon Medical Group Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1102 |
| Daniel Welchons | Urology | Associated Medical Professionals of Ny Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1110 |
| Jennifer M Rogers | Nurse Practitioner | Associated Medical Professionals of Ny Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1110 |
| Daniel F Colino | Optometry | Costello Eye Physicians and Surgeons, Pllc | 2 Ellinwood Dr, New Hartford, NY 13413-1102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dayal D Raja | Endocrinology | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Michael J Mcnulty | Pain Management | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Suzanne W Buschor | Physical Therapy | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Radaranys Brea | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Pony Nancy Sokiri | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Celesta M Hunsiker | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| David Nicholas Campola Jr. | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Adnan Cemer | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Stephanie Marie Calenzo | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Tami L Harris | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Find all physicians in zip 13413 | |||
| City | NEW HARTFORD |
| Zip Code | 13413 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW HARTFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Randy Czternastek.
| 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.