MS. ERICA TINE-ROSE FEOLA (NPI# 1104809409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104809409 |
| Entity Type | Individual |
| Full Name | MS. ERICA TINE-ROSE FEOLA |
| Credential | P.A. |
| Practice Address |
830 Washington St Er Department Watertown NY 13601-4034 |
| Mailing Address |
Po Box 415695 Boston MA 02241-5695 |
| Practice Telephone | 3157864813 |
| Practice Fax Number | 3157864314 |
| Mailing Telephone | 8669526774 |
| Mailing Fax Number | 7812766403 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009893-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
830 WASHINGTON ST ER DEPARTMENT |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597724 | Doris Elaine Grimes | Specialist | 830 Washington St, Watertown, NY 13601-4034 | 2005-06-09 |
| 1386245033 | Sheryl Lynn Abbott | Physician Assistant | 830 Washington St, Watertown, NY 13601-4099 | 2020-11-07 |
| 1730718958 | Shanmukha Swetha Perabattula | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2020-04-08 |
| 1427687771 | Farah Wani | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2020-04-07 |
| 1396383170 | Kaitlin Effie Clark | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-12 |
| 1730727546 | Brittany Rose Lothrop | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-12 |
| 1598303430 | Jeremy Tarwater | Physical Therapist | 830 Washington St, Watertown, NY 13601-4034 | 2019-12-11 |
| 1609425081 | Heather D Seldat | Nurse Practitioner | 830 Washington St, Watertown, NY 13601-4034 | 2019-09-09 |
| 1649835679 | Timothy Schwarz | Student in an Organized Health Care Education/Training Program | 830 Washington St, Watertown, NY 13601-4099 | 2019-05-06 |
| 1609338201 | Danielle Kealy | Speech-Language Pathologist | 830 Washington St, Watertown, NY 13601-4034 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1457961765 | Samantha Jewers | Physician Assistant | 20 California Park, Watertown, MA 02472-2517 | 2020-08-03 |
| 1134757743 | Hira Bakshi | Physician Assistant | 295 Barben Ave, Watertown, NY 13601-4501 | 2020-03-30 |
| 1538795661 | Stephen Robinson | Physician Assistant | 26076 Liberty Ave, Watertown, NY 13601-5910 | 2020-03-20 |
| 1730695941 | Razi Odean Mirshahi | Physician Assistant | 183 Mount Auburn St Apt 46, Watertown, MA 02472-4012 | 2017-12-26 |
| 1790111797 | Marisa Hamlin | Physician Assistant | 22670 Summit Dr Bldg 6, Watertown, NY 13601-7208 | 2013-09-23 |
| 1639476260 | Kell T Giffin | Physician Assistant | 930 Holcomb St, Watertown, NY 13601-4228 | 2011-02-17 |
| 1306068812 | Mountain Medical of Watertown | Physician Assistant | 457 Gaffney Dr, Watertown, NY 13601 | 2007-05-03 |
| 1073677498 | Nonna Khachiyan | Physician Assistant | 11 Mason Rd, Watertown, MA 02472-3314 | 2006-12-20 |
| 1528167277 | Mark Andrew Knowles | Physician Assistant | 457 Gaffney Drive, Watertown, NY 13601-1834 | 2006-09-21 |
| 1336167709 | Michelle Lynne Boulton | Physician Assistant | 171 E. Hoard Street, Watertown, NY 13601-1515 | 2006-07-17 |
| Find all providers in WATERTOWN | ||||
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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.