MS. SUZZUNNE NICOLE DECRUZ (NPI# 1033312244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033312244 |
| Entity Type | Individual |
| Full Name | MS. SUZZUNNE NICOLE DECRUZ |
| Credential | PA-C |
| Practice Address |
240 Indian River Road A5 Orange CT 06477 |
| Mailing Address |
240 Indian River Road Suite A5 Orange CT 06477 |
| Practice Telephone | 2037991252 |
| Practice Fax Number | 2037993252 |
| Mailing Telephone | 2037991252 |
| Mailing Fax Number | 2037993252 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001433 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
001433 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
240 INDIAN RIVER ROAD A5 |
| City | ORANGE |
| State | CT |
| Zip Code | 06477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983125 | David B Simon | Internal Medicine | 240 Indian River Road, Suite A5, Orange, CT 06477-3649 | 2005-09-22 |
| 1548442726 | Bayode Ademola Afolalu | Internal Medicine | 240 Indian River Road, A5, Orange, CT 06477-3649 | 2007-11-29 |
| 1861488033 | Mark J Hotchkiss | Internal Medicine | 240 Indian River Road, Suite A5, Orange, CT 06477 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958425 | Alyssa Helmuth | Physician Assistant | 540 S La Veta Park Cir Apt 35, Orange, CA 92868-4069 | 2020-09-23 |
| 1265903868 | Brooke Christine Blaser | Physician Assistant | 705 W La Veta Ave Ste 111, Orange, CA 92868-4447 | 2018-12-08 |
| 1144707209 | Katarzyna Marta Banas | Physician Assistant | 1310 W Stewart Dr Ste 602, Orange, CA 92868 | 2018-07-22 |
| 1619484607 | Patrack, PC | Physician Assistant | 1439 W Chapman Ave Ste 149 Pmb#85, Orange, CA 92868-2738 | 2017-12-29 |
| 1336660141 | Sarah Nicole Pedroza | Physician Assistant | 1310 W Stewart Dr Ste 511, Orange, CA 92868-3854 | 2017-06-30 |
| 1255703674 | Michelle Mai Huynh | Physician Assistant | 1001 N Sonora Cir, Orange, CA 92869-1963 | 2015-10-25 |
| 1912375577 | Onil Vallecillo | Physician Assistant | 1140 W La Veta Ave Ste 860, Orange, CA 92868-4218 | 2015-09-11 |
| 1043611643 | Laura Kragt | Physician Assistant | 521 Boston Post Rd, Orange, CT 06477-3506 | 2014-09-15 |
| 1659786242 | Charles Agustin Amador | Physician Assistant | 2019 N Lake Mead Cir, Orange, CA 92867-2471 | 2014-06-23 |
| 1891048385 | Lauren Beaumarchais | Physician Assistant | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2012-10-21 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.