Colleen M Crandell (NPI# 1144269176, PAC ID# 9638157365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1144269176 |
| PAC ID by PECOS | 9638157365 |
| Professional Enrollment ID | I20040709000798 |
| Full Name | Colleen M Crandell |
| Organization Legal Name | SOUTHERN TIER DERMATOLOGY AND AESTHETICS |
| Address |
6 Rhoads Dr Utica NY 13502-6317 |
| Phone Number | 3157332777 |
| Gender | F |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2004 |
| 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 |
| 6 Rhoads Dr, Utica, NY 13502-6317 | 3157332777 | 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 |
| 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 |
| Sphoorthi R Jinna | Dermatology | 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 |
6 RHOADS DR |
| City | UTICA |
| State | NY |
| Zip | 13502-6317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curt F Fenkl | Dermatology | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| Jenna Pawloski | Nurse Practitioner | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| Michelle Tagliaferri | Physician Assistant | Southern Tier Dermatology and Aesthetics | 6 Rhoads Dr, Utica, NY 13502-6317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry F Lutz | Optometry | 710 Horatio St, Suite 700, Utica, NY 13502-1461 | |
| Edward J Casper Jr. | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1605 | |
| Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
| Salvatore Capuana | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1661 | |
| David M Abdoo | Physical Therapy | 430 Coventry Ave, Utica, NY 13502-1764 | |
| Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Jonathan D Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Komgrit Chukiert | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Thomas E Gwilt | Nurse Practitioner | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Find all physicians in zip 13502 | |||
| City | UTICA |
| Zip Code | 13502 |
| Specialty | DERMATOLOGY |
| City + Specialty | UTICA + DERMATOLOGY |
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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.