Joshua H Blodgett (NPI# 1457847204, PAC ID# 7517211451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457847204 |
| PAC ID by PECOS | 7517211451 |
| Professional Enrollment ID | I20181113001900 |
| Full Name | Joshua H Blodgett |
| Organization Legal Name | LIBERTY RESOURCES INC. |
| Address |
1850 Cnty Rte Suite 57 Fulton NY 13069 |
| Phone Number | 3155984642 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486703352 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1850 Cnty Rte, Suite 57, Fulton, NY 13069 | 3155984642 | LIBERTY RESOURCES INC. |
| 1045 James St, Syracuse, NY 13203-2730 | 3154724471 | LIBERTY RESOURCES INC. |
| Organization Legal Name | LIBERTY RESOURCES INC. |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Klein | Clinical Social Worker | Liberty Resources Inc. | 175 Humboldt St, Rochester, NY 14610-1059 |
| Anthony A Fazzino | Clinical Social Worker | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Anthony P Hueber | Clinical Social Worker | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Farzad Sarmast | Family Medicine | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Brooke Corlew | Nurse Practitioner | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Tracy L Mcgraw | Clinical Social Worker | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Heather K Henderson | Nurse Practitioner | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Kristen Marie Milburn | Nurse Practitioner | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Susanne A Bauer | Clinical Social Worker | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Geoffrey M Hopkins | Psychiatry | Liberty Resources Inc. | 1045 James St, Syracuse, NY 13203-2730 |
| Street Address |
1850 CNTY RTE SUITE 57 |
| City | FULTON |
| State | NY |
| Zip | 13069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelique Chambers | Clinical Social Worker | Liberty Resources Inc. | 1850 Cnty Rte, Suite 57, Fulton, NY 13069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 | |
| Brandye Dale | Optometry | Dandb Optometry Associates Pllc | 1818 State Route 3, Fulton, NY 13069-1513 |
| Daniel Pisacano | Optometry | Dandb Optometry Associates Pllc | 1818 State Route 3, Fulton, NY 13069-1513 |
| Find all physicians in zip 13069 | |||
| City | FULTON |
| Zip Code | 13069 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FULTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Joshua H Blodgett.
| 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.