MR. SEAN MORGAN HERMICK (NPI# 1154401784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154401784 |
| Entity Type | Individual |
| Full Name | MR. SEAN MORGAN HERMICK |
| Practice Address |
900 Washington Rd Credentential's Office, Keller Army Community Hospital West Point NY 10996-1109 |
| Mailing Address |
700 Lilly Rd Ne Olympia Medical Center Olympia WA 98506-5196 |
| Practice Telephone | 8459384733 |
| Mailing Telephone | 3609237000 |
| Mailing Fax Number | 3609237089 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60379034 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 WASHINGTON RD CREDENTENTIAL'S OFFICE, KELLER ARMY COMMUNITY HOSPITAL |
| City | WEST POINT |
| State | NY |
| Zip Code | 10996-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525695 | Don B Blakeslee | Otolaryngology | 900 Washington Rd, West Point, NY 10996-1109 | 2005-08-15 |
| 1164069191 | Jessica Lynn Guglielmo | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-10 |
| 1104463090 | Patricia Ruth Gwynn | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-10 |
| 1265079594 | Mariefel Casino Paqueo | Registered Nurse | 900 Washington Rd, West Point, NY 10996-1109 | 2019-12-05 |
| 1467003061 | Kristen Midori Omi | Optometrist | 900 Washington Rd, West Point, NY 10996-1109 | 2019-09-25 |
| 1356992390 | Ava Hwa Lan | Pharmacist | 900 Washington Rd, West Point, NY 10996-1109 | 2019-09-20 |
| 1356901474 | Tyler Amores | Physician Assistant | 900 Washington Rd, West Point, NY 10996-1109 | 2019-06-20 |
| 1306321575 | Courtney Millen | Dietitian, Registered | 900 Washington Rd, West Point, NY 10996-1109 | 2018-10-03 |
| 1063912475 | Katherine Lynn Lukianoff | Nurse Practitioner | 900 Washington Rd, West Point, NY 10996-1109 | 2018-02-13 |
| 1710401054 | Adam Michael Barga | Physical Therapist | 900 Washington Rd, West Point, NY 10996-1109 | 2017-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838821 | Alexander Clifford Lane | Specialist/Technologist | 700 Mills Road, West Point, NY 10996 | 2018-10-25 |
| 1912182080 | Linda A Terribile | Licensed Practical Nurse | 900 Washington Road, Keller Army Community Hospital, West Point, NY 10996 | 2008-01-08 |
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1639244718 | Edward Michael Falta | Surgery | Building 900, Washington Road, West Point, NY 10996 | 2006-11-22 |
| 1902989452 | Donna Wiener-levy | Psychologist | Us Military Academy, Scott Barracks, Building 735, 51st Division, West Point, NY 10996 | 2006-10-20 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1932151024 | Lucille Catherine Larney | Psychologist | Kach Behavioral Health Clinic, Bldg 606-3m, West Point, NY 10996 | 2006-05-17 |
| 1669423315 | Thorpe Clarke Whitehead | Dentist | Saunders Dental Clinic, 646 Swift Creek Road, West Point, NY 10996 | 2006-05-15 |
| 1205891876 | Nancy G Brown | Physical Therapist | Washington Rd, Keller Army Community Hospital, West Point, NY 10996 | 2006-04-18 |
| Find all providers in zip 10996 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 10996 |
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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.