Katrina Ruth Stidham (NPI# 1508952219, PAC ID# 6507814670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1508952219 |
| PAC ID by PECOS | 6507814670 |
| Professional Enrollment ID | I20090324000045 |
| Full Name | Katrina Ruth Stidham |
| Organization Legal Name | ENT FACULTY PRACTICE LLP |
| Address |
1055 Saw Mill River Rd Suite 101 Ardsley NY 10502-1050 |
| Phone Number | 9146937636 |
| Gender | F |
| Credential | MD |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 1759391956 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330234 | WESTCHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 | 9146937636 | ENT FACULTY PRACTICE LLP |
| Organization Legal Name | ENT FACULTY PRACTICE LLP |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lianne M Deserres | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Samantha I Morgan | Qualified Audiologist | Ent Faculty Practice LLP | 19 Bradhurst Ave, 3600s, Hawthorne, NY 10532-2140 |
| Jessica Hoffman | Qualified Audiologist | Ent Faculty Practice LLP | 19 Bradhurst Ave, 3600s, Hawthorne, NY 10532-2140 |
| Farah Dubaybo | Qualified Audiologist | Ent Faculty Practice LLP | 19 Bradhurst Ave, 3600s, Hawthorne, NY 10532-2140 |
| Melanie Katz Morrison | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Steven A Hemmerdinger | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Craig Elliot Berzofsky | Otolaryngology | Ent Faculty Practice LLP | 777 N Broadway, Suite 303, Sleepy Hollow, NY 10591-1040 |
| Maureen O Mcgee | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Rivka Bornstein | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Mindy S Schmelzer | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Street Address |
1055 SAW MILL RIVER RD SUITE 101 |
| City | ARDSLEY |
| State | NY |
| Zip | 10502-1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lianne M Deserres | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Melanie Katz Morrison | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Steven A Hemmerdinger | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Maureen O Mcgee | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Rivka Bornstein | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Mindy S Schmelzer | Qualified Audiologist | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Jk Rasamny | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Angela Damiano | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Tali Lando | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Stephen Warshafsky | Internal Medicine | 1055 Saw Mill River Rd, Suite 206, Ardsley, NY 10502-1050 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Bernabei | Clinical Social Worker | 101 Forest Blvd, Ardsley, NY 10502-1036 | |
| Sherri Kapel | Dermatology | 1055 Saw Mill River Rd, Suite 208, Ardsley, NY 10502-1046 | |
| Afaaf F Hassan | Physical Therapy | Orthocare Physical Therapy | 1053 Saw Mill River Rd, Ardsley, NY 10502-1048 |
| Eugene Pavone | Physical Therapy | Orthocare Physical Therapy | 1053 Saw Mill River Rd, Ardsley, NY 10502-1048 |
| Benito Giampaglia | Physical Therapy | Orthocare Physical Therapy | 1053 Saw Mill River Rd, Ardsley, NY 10502-1048 |
| Sindy G Solomon | Internal Medicine | 1053 Saw Mill River Rd, Ardsley, NY 10502-1048 | |
| Shana N Richards | Physical Therapy | Orthocare Physical Therapy | 1053 Saw Mill River Rd, Ardsley, NY 10502-1048 |
| Erin M Casey | Physical Therapy | Orthocare Physical Therapy | 1053 Saw Mill River Rd, Ardsley, NY 10502-1048 |
| David M Merer | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Augustine Louis Moscatello | Otolaryngology | Ent Faculty Practice LLP | 1055 Saw Mill River Rd, Suite 101, Ardsley, NY 10502-1050 |
| Find all physicians in zip 10502 | |||
| City | ARDSLEY |
| Zip Code | 10502 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ARDSLEY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Katrina Ruth Stidham.
| 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.