CHANHSAMONE SYRAVANH


Address: 4745 Ogletown Stanton Rd, Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology, Newark, DE 19713-2067
Phone: 3022923541

CHANHSAMONE SYRAVANH (NPI# 1376922799) 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) 1376922799
Entity Type Individual
Full Name CHANHSAMONE SYRAVANH
Credential PA
Practice Address 4745 Ogletown Stanton Rd
Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology
Newark
DE 19713-2067
Practice Telephone 3022923541
Practice Fax Number 3022923542
Mailing Telephone 3022923541
Mailing Fax Number 3022923542
Enumeration Date 2015-05-19
Last Update Date 2015-05-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C5-0000559 DE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4745 OGLETOWN STANTON RD
MEDICAL ARTS PAVILION 1, SUITE 135, HOSMANE CARDIOLOGY
City NEWARK
State DE
Zip Code 19713-2067

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194224 Mehdi Balakhani Specialist 4745 Ogletown Stanton Rd, Map #1, Suite 226, Newark, DE 19713-2067 2005-06-14
1912439829 Dirm Surgery Center Clinic/Center 4745 Ogletown Stanton Rd, Suite 117, Newark, DE 19713-2067 2017-03-30
1821548025 Danielle M Corsi Registered Nurse 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 2016-10-12
1386194116 Sooin Lee Nurse Practitioner 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 2016-10-05
1023564499 Hosmane Eye Care LLC Optometrist 4745 Ogletown Stanton Rd, Pavillion 1, Suite 135, Newark, DE 19713-2067 2016-08-26
1407202807 Lisa Wei Schmidt Physician Assistant 4745 Ogletown Stanton Rd, Ste 225, Newark, DE 19713-2067 2016-05-04
1619341328 Keri Ann E. Flanagan Registered Nurse 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 2015-11-18
1124496807 Kaysha P Michel Registered Nurse 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2067 2015-09-11
1548652704 Kristin M Fawcett Nurse Practitioner 4745 Ogletown Stanton Rd, Suite 217, Newark, DE 19713-2067 2015-02-25
1679981849 Christian Morency Physician Assistant 4745 Ogletown Stanton Rd, Ste 225, Newark, DE 19713-2067 2014-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1225674633 Michael Francis Stant Specialist/Technologist Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 2019-11-20
1528559457 Sarah Mun Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19713 2018-05-26
1568983286 Clarice Wanisku Kariuki Licensed Practical Nurse 15 Prestbury Square, Suite 14, Nweark, DE 19713 2017-07-03
1679029870 Auxilia Akala Nurse Practitioner 1082 Churchmans Rd, Newrk, DE 19713 2016-08-28
1003369851 Yawar Abbas Psychiatry & Neurology Rockford Center, 100 Rockford Dr, Newark, DE 19713 2016-07-28
1700245925 Debra Hutz Counselor 25 Omega Dr., Professional Center #j, Newark, DE 19713 2016-02-16
1376918201 Aquiles Igleisias Speech-Language Pathologist 540 South College Avenue, Newark, DE 19713 2015-12-03
1639547359 Kylee Rose Social Worker 901 S. Chapel Street, Newark, DE 19713 2015-09-11
1932503976 Kathleen Madara Physical Therapist 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 2014-10-20
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457702177 Jacinta Hollinger Physician Assistant C78-80 Omega Dr, Newark, DE 19713-2076 2016-06-23
1851709877 Bethany Anne Melo Physician Assistant 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718-2200 2014-07-23
1437442357 Sherifa P Julien-johnson Physician Assistant 238 Mulberry St, Newark, NJ 07102-3528 2011-05-25
1821319997 Melva M Brown Physician Assistant 354 Doremus Ave, Newark, NJ 07105-4882 2010-06-11
1437303302 Helen Brightman Physician Assistant 150 Bergen St # H245, Newark, NJ 07103-2496 2008-11-05
1669657623 John Stewart Constance Physician Assistant Christiana Care Health System Dept of Medicine, 4755 Ogletown-stanton Rd., Newark, DE 19718-0001 2008-01-08
1114935152 Susan E Matarese Physician Assistant 1200 Peoples Plz, Suite 1285, Newark, DE 19702-5701 2006-08-04
1306453766 Justin Michael Pipoli Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2020-09-29
1710596895 Alyssa N Floyd Physician Assistant 78 Omega Dr Bldg C, Newark, DE 19713-2064 2020-07-24
1649898834 Nicholas D Biermann Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-14
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Competitor

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City NEWARK
Zip Code 19713

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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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