MARY A. TRACY (NPI# 1154501690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154501690 |
| Entity Type | Individual |
| Full Name | MARY A. TRACY |
| Other Name | MARY A. SNIDER |
| Credential | PA-C |
| Practice Address |
427 Guy Park Ave Amsterdam NY 12010-1054 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 5188417237 |
| Mailing Telephone | 8566864317 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 012195 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248070 | Mary Jane Tracy | Massage Therapist | 1800 Summey Ave, Charlotte, NC 28205-7930 | 2020-08-31 |
| 1811480874 | Mary C Tracy | Social Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2018-06-13 |
| Street Address |
427 GUY PARK AVE |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914043 | Kathleen Ann Miller | Dietitian, Registered | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2005-07-06 |
| 1730792748 | Melissa Kopf | Dietitian, Registered | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2020-08-28 |
| 1982241030 | Regina Marie Breton | Physical Medicine & Rehabilitation | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2019-12-09 |
| 1548806367 | Karen Mcgillin | Physical Therapist | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2019-11-27 |
| 1750871083 | David A Ermacor | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2018-05-11 |
| 1871025007 | Anjan Venkata Marella | Psychiatry & Neurology | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2017-03-28 |
| 1730628751 | Elisabeth Ryan Penree | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2017-02-23 |
| 1932656089 | Kathryn Kuebler | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2016-09-07 |
| 1013463686 | Chelsea Centurioni | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2016-09-01 |
| 1912368432 | St Mary's Hospital | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2016-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| Find all providers in zip 12010 | ||||
| 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 |
|---|---|---|---|---|
| 1952561649 | Joan M Petith-paulsen | Physician Assistant | 4803 State Highway 30, Kem Plaza, Amsterdam, NY 12010-7418 | 2008-06-16 |
| 1750871083 | David A Ermacor | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2018-05-11 |
| 1730628751 | Elisabeth Ryan Penree | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2017-02-23 |
| 1932656089 | Kathryn Kuebler | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2016-09-07 |
| 1013463686 | Chelsea Centurioni | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2016-09-01 |
| 1194126607 | Abigail Johnson | Physician Assistant | 5010 State Highway 30 Ste 205, Amsterdam, NY 12010 | 2014-09-16 |
| 1861825473 | Blair Lee Ciccarelli | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2013-08-19 |
| 1205148210 | Jessica S Dever | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2010-07-07 |
| 1619172426 | Michele Ochal | Physician Assistant | 4988 State Highway 30, St. Mary's Hospital, Memorial Campus Family Health Cent, Amsterdam, NY 12010 | 2007-06-20 |
| 1518181817 | David Tolge | Physician Assistant | 5010 State Hwy 30, Suite 205, Amsterdam, NY 12010-7532 | 2007-04-11 |
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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.