SHANNON BLANFORD


Address: 2209 Genesee St, Utica, NY 13501-5930
Phone: 3158018100

SHANNON BLANFORD (NPI# 1194379248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194379248
Entity Type Individual
Full Name SHANNON BLANFORD
Credential STUDENT
Practice Address 2209 Genesee St
Utica
NY 13501-5930
Mailing Address 320 Hunt Dr
Fayetteville
NY 13066-1228
Practice Telephone 3158018100
Mailing Telephone 3154121117
Enumeration Date 2019-07-27
Last Update Date 2019-10-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 024233 NY Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1656 Champlin Ave, Utica, NY 135024830 3156246000

Office Location

Street Address 2209 GENESEE ST
City UTICA
State NY
Zip Code 13501-5930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821093402 St Elizabeth Medical Center General Acute Care Hospital 2209 Genesee St, Utica, NY 13501-5930 2005-06-20
1134727944 Nicholas James Romeo Pharmacist 2209 Genesee St, Utica, NY 13501-5930 2020-10-14
1073163440 Julie Murphy Social Worker 2209 Genesee St, Utica, NY 13501-5999 2019-09-17
1417413741 Tracy Lynn Zarate Social Worker 2209 Genesee St, Utica, NY 13501-5930 2019-02-12
1285119917 Melissa Ann Peruzzi Nurse Practitioner 2209 Genesee St, Utica, NY 13501-5930 2018-09-28
1053821330 Melanie Tedesco Social Worker 2209 Genesee St, Utica, NY 13501-5930 2017-10-02
1821507104 Esma Zagorica Social Worker 2209 Genesee St, Utica, NY 13501-5930 2017-09-29
1578072856 Jessica Willies Social Worker 2209 Genesee St, Utica, NY 13501-5930 2017-09-29
1659898567 Amanda Vitro Physical Therapist 2209 Genesee St, Utica, NY 13501-5930 2017-08-23
1851823835 Kathleen Weldon Social Worker 2209 Genesee St, Case Management, Utica, NY 13501-5930 2017-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700349248 Maria Kuehl Student in an Organized Health Care Education/Training Program 120 Hobart Street, Residency Program, Utica, NY 13501 2019-04-11
1497237622 Bobs Pharmacy LLC Durable Medical Equipment & Medical Supplies 430 Bleecker St, Utica, NY 13501 2018-09-04
1528565421 Michele Della Gala Social Worker 1427 Genesee Street, Utica, NY 13501 2018-04-09
1295274884 Sheila Denita Boyd Licensed Practical Nurse 505 Mary Street, Utica, NY 13501 2017-02-16
1770034993 Curry Mcmahon Massage Therapist 2707 Genesee St, Utica, NY 13501 2016-10-24
1689123614 Angelica Pascone Martin Physician Assistant 2215 Genesee St., Utica, NY 13501 2016-10-03
1942673942 Krista Lee Klopotek Registered Nurse 1151 Albany Street, Albany Elementary School, Utica, NY 13501 2015-11-12
1841618089 Katherine Macaulay Lucey Social Worker 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 2014-04-04
1578809067 Laurie A Baker Social Worker 2307 Genesee St, Utica, NY 13501 2013-01-02
1104170505 Amanda Knoeller Social Worker 683 Mary Street, Utica, NY 13501 2012-11-07
Find all providers in zip 13501

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427617935 Caitlin A. Ullman Physician Assistant 20 Westminster Rd, Utica, NY 13501-6429 2019-06-08
1679049191 Caroline Nora Going Physician Assistant 1675 Bennett St, Utica, NY 13502-5390 2018-10-23
1497277537 Adam Paul Fenton Physician Assistant 2211 Genesee St Ste 200, Utica, NY 13501-5930 2017-07-11
1689123614 Angelica Pascone Martin Physician Assistant 2215 Genesee St., Utica, NY 13501 2016-10-03
1861701732 Jessica Faith Martin Physician Assistant 1676 Sunset Ave Ste 2, Utica, NY 13502-5416 2010-09-27
1528195260 Kathleen Bridget Joly Physician Assistant 125 Business Park Dr, Suite 150, Utica, NY 13502-6304 2007-02-28
1457363228 Steven E Fries Physician Assistant 1500 Genesee Street, Utica, NY 13502 2006-08-12
1003898560 Esteban Onate Physician Assistant 116 Business Park Dr, 1st Floor, Utica, NY 13502-6313 2005-11-18
1801887690 Michelle Tagliaferri Physician Assistant 6 Rhoads Dr, Utica, NY 13502-6317 2005-11-02
1508866054 Lashawnda Latrice Giuffrida Physician Assistant 1703 Genesee St, Utica, NY 13501-5613 2005-07-27
Find all providers in UTICA

Competitor

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City UTICA
Zip Code 13501

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Dataset Information

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.

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