Sphoorthi R Jinna (NPI# 1588906028, PAC ID# 9335442623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1588906028 |
| PAC ID by PECOS | 9335442623 |
| Professional Enrollment ID | I20190507002694 |
| Full Name | Sphoorthi R Jinna |
| Organization Legal Name | SOUTHERN TIER DERMATOLOGY AND AESTHETICS |
| Address |
333 Hooper Rd Endwell NY 13760-3641 |
| Phone Number | 6077292777130 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7214931815 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 333 Hooper Rd, Endwell, NY 13760-3641 | 6077292777130 | 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 |
| Jenna Pawloski | Nurse Practitioner | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| 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 |
333 HOOPER RD |
| City | ENDWELL |
| State | NY |
| Zip | 13760-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karoline Kies | Nurse Practitioner | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| 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 |
| Patrick Crandell | Physician Assistant | 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 |
| James A Terzian | Pathology | Southern Tier Dermatology and Aesthetics | 333 Hooper Rd, Endwell, NY 13760-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell G Hunink | Physical Therapy | 800 Hooper Rd, Suite 330, Endwell, NY 13760-1560 | |
| Leah M Doty | Audiologist | Family Audiology, Pllc | 800 Hooper Rd, Suite 370, Endwell, NY 13760-1560 |
| Danielle Johnson | Nurse Practitioner | United Health Services Hospitals Inc | 800 Hooper Rd, Endwell, NY 13760-1592 |
| Kathleen J Wold | Nurse Practitioner | United Health Services Hospitals Inc | 800 Hooper Rd, Endwell, NY 13760-1592 |
| Patrick D Barnett | Chiropractic | 534 Hooper Rd, Endwell, NY 13760-1982 | |
| Sergei N Petrochko | Optometry | 631 Valleyview Dr, Endwell, NY 13760-2550 | |
| Samuel A Cooper | Chiropractic | 817 Pine St, Endicott, NY 13760-2715 | |
| Kathleen M Gaynor | Optometry | Sightrite Inc | 301 Nantucket Dr, Absolut At Endicott, Endicott, NY 13760-2735 |
| David A Gregory | Clinical Social Worker | Senior Connections Psychological Services of New York PC | 301 Nantucket Dr, Endicott, NY 13760-2735 |
| Stephen A Daniel | Clinical Psychologist | Senior Connections Psychological Services of New York PC | 301 Nantucket Dr, Endicott, NY 13760-2735 |
| Find all physicians in zip 13760 | |||
| City | ENDWELL |
| Zip Code | 13760 |
| Specialty | DERMATOLOGY |
| City + Specialty | ENDWELL + DERMATOLOGY |
Please comment or provide details below to improve the information on Sphoorthi R Jinna.
| 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.