MS. PAULA ANN FARRELL (NPI# 1134344138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134344138 |
| Entity Type | Individual |
| Full Name | MS. PAULA ANN FARRELL |
| Credential | MD |
| Practice Address |
33-57 Harrison St Johnson City NY 13790-2107 |
| Mailing Address |
736 Irving Ave Room 9100 Syracuse NY 13210-1687 |
| Practice Telephone | 3154707379 |
| Practice Fax Number | 3154702923 |
| Mailing Telephone | 3154707379 |
| Mailing Fax Number | 3154702923 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
227164 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02721786 | 05 |
| Street Address |
33-57 HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477832 | Rajesh Jayantkrishna Dave | Specialist | 33-57 Harrison St, Johnson City, NY 13790-2143 | 2005-06-15 |
| 1447851944 | Sagarkumar Patel | Nurse Practitioner | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-11-03 |
| 1083214332 | Justin Michael Eisenhauer | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-10-27 |
| 1124665849 | Jason D Oziemina | Physical Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-12-02 |
| 1104462472 | Cathy J Forde | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-21 |
| 1740826361 | Marie Beth Abell | Physical Medicine & Rehabilitation | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-19 |
| 1841835675 | Jessica Lynn Mclaughlin | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-15 |
| 1346885399 | Brianna Bruster | Speech-Language Pathologist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-14 |
| 1689219735 | Jinfang Li | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-13 |
| 1437794781 | John Yacano | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396188546 | Brittnea Jean Adcock | Pediatrics | 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604 | 2013-04-08 |
| 1720236029 | Shawn Hollinger | Pediatrics | 325 N State of Franklin Rd, Ground Floor, Johnson City, TN 37604 | 2008-08-29 |
| 1972722759 | Rita Alfreda Vileisis | Pediatrics | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2007-04-24 |
| 1912124272 | Michael Angelo Flores | Pediatrics | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2007-04-19 |
| 1659467678 | Darshan S Shah | Pediatrics | 325 N State of Franklin Rd, Ground Floor, Johnson City, TN 37604-6062 | 2006-10-05 |
| 1932192275 | Des R. Bharti | Pediatrics | 400 N State of Franklin Rd, 1st Floor, Johnson City, TN 37604 | 2005-08-23 |
| 1326031667 | Bedford W. Bonta | Pediatrics | 400 N State of Franklin Rd, 1st Floor, Johnson City, TN 37604-6035 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447893193 | Karen Lynn Marsh | Pediatrics | 64 Willow St, Guilderland, NY 12084-9778 | 2019-10-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1639697329 | Lily Michelle Barres | Pediatrics | 601 Elmwood Ave Box 651, Rochester, NY 14642-0001 | 2017-09-01 |
| 1093238339 | Maria Pygerou-kofinas | Pediatrics | 506 Sixth Street Kp4, Brooklyn, NY 11215 | 2017-07-19 |
| 1063893089 | Namirembe Joan Kazibwe | Pediatrics | 539, 85th Street, Apt 3f, Brooklyn, NY 11209 | 2015-06-16 |
| 1114339322 | Michelle Quan | Pediatrics | 388 Bridge St, Apt 11b, Brooklyn, NY 11201-5210 | 2014-05-21 |
| 1215347026 | Babina K Nayak | Pediatrics | 435 Avalon Gardens Dr Apt 435, Nanuet, NY 10954-7433 | 2014-05-01 |
| 1952728883 | Thomas Hays | Pediatrics | 41 Hausman St, Brooklyn, NY 11222 | 2014-03-28 |
| 1437597614 | Umesh Paudel | Pediatrics | 100 Woods Rd Pmb 605, Valhalla, NY 10595 | 2013-06-10 |
| 1144668484 | Irina Kaminyar | Pediatrics | 24023 68th Ave, Douglaston, NY 11362-1928 | 2013-06-09 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.