DR. OSRIC SHAUN KING (NPI# 1164549382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164549382 |
| Entity Type | Individual |
| Full Name | DR. OSRIC SHAUN KING |
| Credential | MD |
| Practice Address |
17660 Union Tpke Suite #190 Fresh Meadows NY 11366-1531 |
| Practice Telephone | 7185915693 |
| Practice Fax Number | 7185918919 |
| Mailing Telephone | 7185915693 |
| Mailing Fax Number | 7185918919 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2015-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 206390 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2ND GHI | 043604737 | 01 |
| NY | BLUE CROSS BLUE SHIELDS | 5005A1 | 01 |
| NY | AETNA PPO | 7226057 | 01 |
| NY | OXFORD FREEDOM | P2695786 | 01 |
| NY | TAX IDENTIFICATION NUMBER | 043604737 | 01 |
| NY | AETNA HMO | 2778049 | 01 |
| NY | GHI | 9684750 | 01 |
| Street Address |
17660 UNION TPKE SUITE #190 |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11366-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415420 | Gary Stuart Hirshfield | Ophthalmology | 17660 Union Tpke, Ste 110, Fresh Meadows, NY 11366-1526 | 2005-05-31 |
| 1871064402 | Stephanie Daniella O'brien | Physical Therapist | 17660 Union Tpke, Fresh Meadows, NY 11366-1526 | 2018-12-07 |
| 1942731203 | Jean Marie Quinn | Physical Therapist | 17660 Union Tpke, Suite 195, Fresh Meadows, NY 11366-1526 | 2017-03-27 |
| 1497122170 | Nicole Tessa Wizel | Physician Assistant | 17660 Union Tpke, Suite 360, Fresh Meadows, NY 11366-1526 | 2015-08-28 |
| 1386061828 | Dennis Piana | Dentist | 17660 Union Tpke, Suite 120, Fresh Meadows, NY 11366-1526 | 2014-03-22 |
| 1780935528 | Queens Endoscopy Asc, LLC | Clinic/Center | 17660 Union Tpke, Fresh Meadows, NY 11366-1526 | 2012-09-19 |
| 1780941443 | Gilberto A Diaz | Physical Therapist | 17660 Union Tpke, Suite 195, Fresh Meadows, NY 11366-1526 | 2012-04-19 |
| 1619259348 | Jessica Schuman | Optometrist | 17660 Union Tpke, Suite 101, Fresh Meadows, NY 11366-1526 | 2011-09-20 |
| 1770812521 | Michael Thomas Regina | Physical Therapist | 17660 Union Tpke, 195, Fresh Meadows, NY 11366-1526 | 2009-12-08 |
| 1437308582 | Arlene Mazzella | Physician Assistant | 17660 Union Tpke, Suite 360, Fresh Meadows, NY 11366-1526 | 2008-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1831615756 | Joseph Sarreal | Licensed Practical Nurse | 77-03 166 Street, Fresh Meadows, NY 11366 | 2017-08-22 |
| 1780106872 | Nadezhda Bababekova | Registered Nurse | 77-15 169st, Fresh Meadows, NY 11366 | 2017-07-11 |
| 1669902284 | Alla Roziyeva | Case Manager/Care Coordinator | 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 | 2017-06-15 |
| 1568998508 | Patricia Guthrie | Technician/Technologist | 17760 Union Tpke, Suite 110, Fresh Meadows, NY 11366 | 2017-05-11 |
| 1639617384 | Elina Gavrielova | Clinical Nurse Specialist | 7531 190th Street, Fresh Meadows, NY 11366 | 2017-02-02 |
| 1164966818 | Lamisa Ahsan | Pharmacist | 186-16 Union Tunrpike, Flushing, NY 11366 | 2016-12-15 |
| 1508217027 | Huisi Wu | Case Manager/Care Coordinator | 164-19 78th Ave, Fresh Meadows, NY 11366 | 2016-06-27 |
| 1770932113 | Mary-kate Martinez | Community Health Worker | 75-02 162nd St, Fresh Meadows, NY 11366 | 2016-06-07 |
| 1366899866 | Medical Offices of Occupational Health Resources P C | Clinic/Center | Hangar 3 Room 117, Laguardia Airport, Flushing, NY 11366 | 2016-05-16 |
| Find all providers in zip 11366 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085845 | Prime Kids, Inc | Specialist | 7304 193rd St, Fresh Meadows, NY 11366-1832 | 2020-02-13 |
| 1962033506 | Karla Marie Arce-vazquez | Specialist | 6111 171st St, Fresh Meadows, NY 11365-2023 | 2020-02-02 |
| 1194372250 | Qian Yang | Specialist | 6452d 186th Ln, Fresh Meadows, NY 11365-3637 | 2019-08-23 |
| 1992358899 | Toni Adler | Specialist | 19210a 64th Ave Apt 3c, Fresh Meadows, NY 11365-2701 | 2019-07-19 |
| 1669931168 | Stella Vazquez | Specialist | 7524 170th St, Fresh Meadows, NY 11366-1342 | 2019-03-14 |
| 1922544808 | Scott Adam Smith | Specialist | 5602 184th St, Fresh Meadows, NY 11365-2215 | 2017-01-16 |
| 1396280426 | Andrew Eisenstadt | Specialist | 196-05a 67th Ave, Apt 3b, Fresh Meadows, NY 11365 | 2016-12-28 |
| 1649621913 | Samantha Marie Lynn | Specialist | 5007 175th Pl, Fresh Meadows, NY 11365-1625 | 2016-06-28 |
| 1821446493 | Margarita Fayzakova | Specialist | 6711 165th St, Fresh Meadows, NY 11365-3203 | 2016-05-24 |
| 1740655893 | Armi Bergancia | Specialist | 7133 Sutton Pl # 2, Fresh Meadows, NY 11365-4135 | 2015-12-01 |
| Find all providers in FRESH MEADOWS | ||||
| City | FRESH MEADOWS |
| Zip Code | 11366 |
Please comment or provide details below to improve the information on DR. OSRIC SHAUN KING.
| 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.