MICHAEL B WHITEHEAD (NPI# 1225053218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225053218 |
| Entity Type | Individual |
| Full Name | MICHAEL B WHITEHEAD |
| Credential | P.A. |
| Practice Address |
50 Leroy St Potsdam NY 13676-1786 |
| Practice Telephone | 3152653300 |
| Mailing Telephone | 3152653300 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
102358 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005139-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144588708 | Michael Robert Whitehead | Marriage & Family Therapist | 213 3rd Ave E, Twin Falls, ID 83301 | 2012-05-01 |
| 1619281136 | Michael Allen Whitehead | Massage Therapist | 1754 Ferguson Valley Rd, Mc Veytown, PA 17051-9520 | 2010-07-27 |
| 1932212958 | Michael Stephen Whitehead | Social Worker | 216 S James St, Ludington, MI 49431-2104 | 2006-08-16 |
| 1659580918 | Michael Kent Whitehead | Marriage & Family Therapist | 500 E 3rd St, #634, Kansas City, MO 64106-1010 | 2007-05-22 |
| Street Address |
50 LEROY ST |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761801 | Amit J Shanker | Internal Medicine | 50 Leroy St, Potsdam, NY 13676-1786 | 2005-06-22 |
| 1154937431 | Felicity Lynn Love | Occupational Therapist | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-09-22 |
| 1265041073 | Zachary Randall Willis | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-07-28 |
| 1780293993 | Gary Thomas Sniffen | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-07-24 |
| 1437776176 | Megan Mae O'brien | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-06-29 |
| 1033748355 | Kelsey Miller | Pharmacist | 50 Leroy St, Potsdam, NY 13676-1786 | 2020-04-07 |
| 1548800196 | Alexandria Fons | Dietitian, Registered | 50 Leroy St, Potsdam, NY 13676-1799 | 2020-01-12 |
| 1235775123 | Kacie Nicole Wentworth | Occupational Therapist | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-11-26 |
| 1326682204 | Megan Lyn Boyea | Speech-Language Pathologist | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-11-04 |
| 1912569955 | Stephanie F Rogers | Hospitalist | 50 Leroy St, Potsdam, NY 13676-1799 | 2019-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306368121 | Sara Mohaddes | Physician Assistant | 16 Chestnut St Apt 2b, Potsdam, NY 13676-1832 | 2017-07-13 |
| 1528046844 | David Nevins | Physician Assistant | 15 Raymond St, Potsdam, NY 13676-1163 | 2006-01-06 |
| 1326608704 | Mary Riley | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-06-18 |
| 1013439033 | Aaron Randy Cooper | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
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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.