DR. PATRICE LYNN ANDERSON (NPI# 1336430107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336430107 |
Entity Type | Individual |
Full Name | DR. PATRICE LYNN ANDERSON |
Credential | M.D. |
Practice Address |
100 Woods Rd N/a Valhalla NY 10595-1530 |
Mailing Address |
19 Bradhurst Ave Suite 3100n Hawthorne NY 10532-2140 |
Practice Telephone | 9149099018 |
Practice Fax Number | 9149099028 |
Mailing Telephone | 9149099018 |
Mailing Fax Number | 9149099028 |
Enumeration Date | 2011-04-27 |
Last Update Date | 2017-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD452935 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NYS LICENSE | 287946 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265079875 | Patrice Anderson | Community/Behavioral Health | 9755 Mill Centre Dr Apt 529, Owings Mills, MD 21117-3981 | 2019-12-02 |
1568003119 | Patrice Nicole Anderson | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2019-10-04 |
1033682315 | Patrice Anderson | Social Worker | 3400 N 29th Avenue, Hollywood, FL 33020 | 2019-01-09 |
1699963470 | Patrice Shondelle Anderson | Counselor | 237 Fernwood Blvd, Fern Park, FL 32730-2116 | 2007-10-05 |
Street Address |
100 WOODS RD N/A |
City | VALHALLA |
State | NY |
Zip Code | 10595-1530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265436802 | Nagwa S. Saleh | Radiology | 100 Woods Rd, Valhalla, NY 10595-1530 | 2005-06-10 |
1639779663 | Trevor Anthony Chen Jr. | Pharmacy Technician | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-28 |
1316544620 | Hansol Lee | Physician Assistant | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-08 |
1205445558 | Rizwan Amin | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
1639788821 | Ailan Zhang | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
1578171302 | Yarden Bornovski | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-17 |
1780201517 | Anita Boonyoo | Nurse Practitioner | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-27 |
1972129807 | Lia C Iacuone | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-16 |
1578187852 | Miriam Heller | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-03 |
1710509716 | Jennifer Zappa | Pharmacist | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-05-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
Find all providers in zip 10595 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427410273 | Heiron Surgery Pllc | Surgery | 172 Kilburn Rd, Garden City, NY 11530-1328 | 2016-03-22 |
1316249766 | Akeem A. Atanda | Surgery | 1 Brookdale Plz Ste 222, Brooklyn, NY 11212-3139 | 2010-11-17 |
1548380488 | Manuel Alejandro Guerrero | Surgery | 350 Canal St, #700, New York, NY 10013-9400 | 2007-03-31 |
1639796568 | Health Quest Medical Practice, PC | Surgery | 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 | 2020-06-26 |
1326599713 | Caitlin N Haenig | Surgery | 601 Elmwood Ave, Rochester, NY 14642 | 2016-10-20 |
1386005221 | Health Quest Medicao Practice, PC | Surgery | 21 Reade Pl, Suite 3100, Poughkeepsie, NY 12601-3912 | 2016-03-18 |
1336555721 | Boris Dimitrov Hristov | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2014-07-07 |
1053733998 | Polikseni Eksarko | Surgery | 101 Nicolls Rd, Hcs T18-040, Stony Brook, NY 11794-8191 | 2014-01-13 |
1881030500 | Crystal C Whitney | Surgery | 750 E Adams St, Syracuse, NY 13210-2342 | 2013-05-21 |
1033477427 | Ryan S Lindborg | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2012-04-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. PATRICE LYNN ANDERSON.
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.