STEPHANIE WALLMAN (NPI# 1134519580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134519580 |
| Entity Type | Individual |
| Full Name | STEPHANIE WALLMAN |
| Credential | D.O. |
| Practice Address |
32 Lawrence Ave Ste 206 Smithtown NY 11787-3605 |
| Mailing Address |
32 Lawrence Ave Suite 206 Smithtown NY 11787 |
| Practice Telephone | (631) 265-1763 |
| Mailing Telephone | (631) 265-1763 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 288963 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8906 135th St, Suite 3d, Jamaica, NY 114182821 | 7182066914 |
| Street Address |
32 LAWRENCE AVE STE 206 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346768702 | Smithtown Integrated Health LLC | Family Medicine | 32 Lawrence Ave Ste 206, Smithtown, NY 11787-3605 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629396429 | Eileen Landenberger Digiovanna | Family Medicine | 48 Redan Dr, Smithtown, NY 11787-4458 | 2010-05-04 |
| 1528134988 | Esther Sumitra-albert | Family Medicine | 1056 W Jericho Tpke, Smithtown, NY 11787-3212 | 2006-11-28 |
| 1477629400 | Mantia Medical Associates | Family Medicine | 496 Nesconset Highway, Ste 200, Smithtown, NY 11787 | 2006-11-28 |
| 1336228410 | Superio Jao Md PC | Family Medicine | 278a E Main St, Smithtown, NY 11787-2920 | 2006-11-02 |
| 1124117189 | James Yong Zhen Wu | Family Medicine | 732 Smithtown Bypass, Suite A51, Smithtown, NY 11787 | 2006-10-11 |
| 1669578985 | Nicholas Livrieri | Family Medicine | 321 Middle Country Road, Smithtown, NY 11787 | 2006-09-15 |
| 1407969819 | Superio Tan Jao | Family Medicine | 278a East Main St, Smithtown, NY 11787 | 2006-08-17 |
| 1427614734 | Optimum Health and Wellness | Family Medicine | 1056 W Jericho Tpke, Smithtown, NY 11787-3212 | 2019-05-13 |
| 1346768702 | Smithtown Integrated Health LLC | Family Medicine | 32 Lawrence Ave Ste 206, Smithtown, NY 11787-3605 | 2017-09-06 |
| 1912394594 | Allison Murray | Family Medicine | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2015-04-21 |
| Find all providers in SMITHTOWN | ||||
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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.