MRS. KELLEY ELIZABETH POWERS (NPI# 1164852216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164852216 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY ELIZABETH POWERS |
| Credential | PA-C |
| Practice Address |
1547 Columbia Tpke Castleton NY 12033-9543 |
| Practice Telephone | 5184794156 |
| Practice Fax Number | 5184793794 |
| Mailing Telephone | 5184794156 |
| Mailing Fax Number | 5184793794 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 017206 | NY | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 017206 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | W34181 | 01 |
| NY | MEDICARE PTAN | BA0876 | 01 |
| NY | MEDICARE PTAN | AA0422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265928840 | Kelley Powers | Occupational Therapist | 822 Pierce St, Philadelphia, PA 19148-1632 | 2018-07-06 |
| 1346360484 | Kelley Ann Powers | Audiologist | 128 Lilly Rd Ne, Suite #202, Olympia, WA 98506-7400 | 2007-03-30 |
| Street Address |
1547 COLUMBIA TPKE |
| City | CASTLETON |
| State | NY |
| Zip Code | 12033-9543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947237 | Richard Henry Stephen Karpinski | Surgery | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2005-07-22 |
| 1740766039 | Mckenzie Ellen Conroy | Nurse Practitioner | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2018-07-19 |
| 1609259894 | Lindsey Greenough | Dermatology | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2015-07-07 |
| 1184029175 | Caitlin Cook | Physician Assistant | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2014-11-03 |
| 1528494317 | Michael R Dulay | Dermatology | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2013-09-25 |
| 1295014249 | Albert Njoroge Huho | Pathology | 1547 Columbia Tpke, Castleton, NY 12033 | 2011-08-09 |
| 1366522088 | William Patrick Bowden | Physician Assistant | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2006-10-17 |
| 1609826163 | Upstate Dermatology, PC | Dermatology | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2006-05-12 |
| 1629026497 | Louis A. Sidoti | Internal Medicine | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2006-05-04 |
| 1396734513 | Anthony Neal Gregory | Dermatology | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2005-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263428 | Taylor M Lanoue | Physical Therapist | 81 Miller Road, Suite 400, Castleton, NY 12033 | 2018-01-25 |
| 1033586631 | Shannon Horan | Licensed Practical Nurse | 2 Anderson Avenue, Castleton, NY 12033 | 2015-08-31 |
| 1528335510 | Anne Valerio Goff | Social Worker | 10 Empire State Blvd., Questar IIi, Castleton, NY 12033 | 2011-11-19 |
| 1740566611 | Dana Garber | Local Education Agency (LEA) | 10 Empire Blvd, Castleton, NY 12033 | 2011-10-24 |
| 1487937769 | Frances F Owen | Social Worker | 1477 So. Schodack Road, Maple Hill Middle School, Castleton, NY 12033 | 2011-09-23 |
| 1083902530 | Stacy Marie Herron | Speech-Language Pathologist | 80 Scott Avenue, Castleton, NY 12033 | 2011-07-19 |
| 1578681425 | Phillip S Weisburgh | Pharmacist | 1645 Columbia Tpk, Castleton, NY 12033 | 2007-03-27 |
| 1831244698 | Schodack Central School District | Local Education Agency (LEA) | 1216 Maple Hill Road, Castleton, NY 12033 | 2007-01-24 |
| 1174607972 | Donna Schaefer | Physician Assistant | Community Care Schodack, 81 Miller Road, Suite 800, Castleton, NY 12033 | 2006-10-25 |
| 1184675142 | Marcella Barbour Fiacco | Dietitian, Registered | 1523 Columbia Turnpike, Serenity Day Spa, Castleton, NY 12033 | 2006-05-15 |
| Find all providers in zip 12033 | ||||
| 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 |
|---|---|---|---|---|
| 1174607972 | Donna Schaefer | Physician Assistant | Community Care Schodack, 81 Miller Road, Suite 800, Castleton, NY 12033 | 2006-10-25 |
| 1487005161 | Patrick Matolka | Physician Assistant | 35 Empire State Blvd, Castleton, NY 12033-9777 | 2016-06-24 |
| 1184029175 | Caitlin Cook | Physician Assistant | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2014-11-03 |
| 1831401983 | Mary P Shierly | Physician Assistant | 35 Empire State Blvd, Castleton, NY 12033-9777 | 2010-07-06 |
| 1700079662 | Nathan James Gardner | Physician Assistant | 81 Miller Rd, Suite 800, Castleton, NY 12033-4035 | 2007-08-23 |
| 1366522088 | William Patrick Bowden | Physician Assistant | 1547 Columbia Tpke, Castleton, NY 12033-9543 | 2006-10-17 |
| 1740226620 | Renee Steckley Speir | Physician Assistant | 35 Empire State Blvd, Castleton, NY 12033-9777 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
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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.