GABRIELLE BENTLEY (NPI# 1225419054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225419054 |
| Entity Type | Individual |
| Full Name | GABRIELLE BENTLEY |
| Other Name | GABRIELLE CONDICT |
| Credential | PA-C |
| Practice Address |
3 Lyon Pl Ogdensburg NY 13669-2590 |
| Practice Telephone | 3153947542 |
| Practice Fax Number | 3153940015 |
| Mailing Telephone | 3153947542 |
| Mailing Fax Number | 3153940015 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 018647 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04169751 | 05 |
| Street Address |
3 LYON PL |
| City | OGDENSBURG |
| State | NY |
| Zip Code | 13669-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274275 | Brian Richard Kerrigan | Family Medicine | 3 Lyon Pl, Suite 303, Ogdensburg, NY 13669-2590 | 2005-06-10 |
| 1366935298 | Lindsey Grace Mclear | Nurse Practitioner | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2018-06-14 |
| 1144741158 | Kenneth Hilborne | Nurse Practitioner | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2017-06-29 |
| 1376081240 | Steven Mussett | Orthopaedic Surgery | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2017-02-10 |
| 1407227044 | North Country Ophthalmology Associates PC | Eyewear Supplier (Equipment, not the service) | 3 Lyon Pl, Suite 101, Ogdensburg, NY 13669-2590 | 2015-10-08 |
| 1407264625 | Katherine Richey | Nurse Practitioner | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2014-07-31 |
| 1790116267 | Ricardo Lundi | Podiatrist | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2013-12-09 |
| 1285918482 | Honeylee Duque Agustin | Specialist | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2011-10-06 |
| 1104108976 | Marta Anghel, M.d. | Internal Medicine | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2011-09-16 |
| 1952612038 | Uday Chintamani Lele | Internal Medicine | 3 Lyon Pl, Ogdensburg, NY 13669-2590 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598274581 | Taylor Mclear | Occupational Therapist | 100 Ford St, Ogdensburg, NY 13669 | 2017-09-22 |
| 1457769267 | Nupur Nagrare | Family Medicine | 100 Horwood Pl, Ogdensburg, NY 13669 | 2014-07-24 |
| 1598008039 | Darcie L Ferro | Counselor | 206 Ford St., Ogdensburg, NY 13669 | 2013-04-03 |
| 1326380999 | United Helpers Mosaic | Nursing Care | 732 Ford Street, Ogdensburg, NY 13669 | 2013-03-21 |
| 1831497346 | Nicole Sovie | Licensed Practical Nurse | 828 Franklin St., Ogdensburg, NY 13669 | 2011-03-08 |
| 1023331105 | Alyssa Megan Murphy | Pharmacist | 723 Canton Street, Ogdensbury, NY 13669 | 2010-03-03 |
| 1023266137 | Tonya Lynn Ott | Licensed Practical Nurse | 618 Irvin St, Ogdensburg, NY 13669 | 2008-09-03 |
| 1659551778 | Jeremy M. Warchol | Physical Therapist | 203 State Street, Northern Physical Therapy, Pllc, Ogdensburg, NY 13669 | 2007-11-06 |
| 1760683353 | Katie Elizabeth Lesperance | Social Worker | 109 Ford Street, Ogdensburg, NY 13669 | 2007-05-30 |
| 1013045632 | Dale Lester Hosmer | Dentist | 414 Jay Street, Ogdensburg, NY 13669 | 2007-03-02 |
| Find all providers in zip 13669 | ||||
| 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 |
|---|---|---|---|---|
| 1497230742 | Alycia Short | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2018-10-02 |
| 1376036541 | Bailey Airoldi | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2018-06-12 |
| 1598287401 | Anuja Thatte | Physician Assistant | 5 Lyon Pl, Ogdensburg, NY 13669-2586 | 2017-07-12 |
| 1114370046 | Margaret T Ecker | Physician Assistant | 214 King Street, Ogdensburg, NY 13669 | 2016-07-15 |
| 1013399617 | Claxton Medical PC | Physician Assistant | 921 State St, Ogdensburg, NY 13669-3347 | 2015-06-19 |
| 1467852160 | Riane Dodge | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2014-08-29 |
| 1992084784 | Christopher L Lapoint | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2011-08-10 |
| 1629267604 | Allison C Smith | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2007-10-16 |
| 1083789515 | Trudy M Kiah | Physician Assistant | 921 State St, Ogdensburg, NY 13669-3347 | 2006-11-21 |
| 1508806910 | Joan M. Mc Elwain | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2006-06-07 |
| Find all providers in OGDENSBURG | ||||
| City | OGDENSBURG |
| Zip Code | 13669 |
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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.