JENNIFER LYNN SIRUCHEK (NPI# 1386076313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386076313 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN SIRUCHEK |
| Other Name | JENNIFER LYNN MARSH |
| Credential | PA-C |
| Practice Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 016767 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
155 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398697 | Renita Danette Butler | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2005-07-07 |
| 1851908743 | Lex Randal Harvey | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-09-25 |
| 1205445384 | Jillian Amanda Sandler | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-07-24 |
| 1407474604 | Ashley M Lapolla | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2020-07-14 |
| 1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
| 1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
| 1598317489 | Shyna L Foster | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2019-07-11 |
| 1376102657 | Kiana Jeffers | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-06-10 |
| 1376107615 | Alyssa Stein | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-04-23 |
| 1700345733 | Mihaela Souliopoulos | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| 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 |
|---|---|---|---|---|
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1740777234 | Susan Ko-velez | Physician Assistant | 941 Rte 35, Middletown, NJ 07748-2601 | 2018-04-19 |
| 1265880918 | Jared Marshall | Physician Assistant | 222 Carriage Crossing Ln, Middletown, CT 06457-5862 | 2016-06-02 |
| 1184921322 | Juliane Natasha Everest | Physician Assistant | 1680 Route 35, Family Wellness Center, Middletown, NJ 07748 | 2011-02-24 |
| 1326271412 | Kristin Myers | Physician Assistant | 896 Washington St, Middletown, CT 06457-2912 | 2009-08-24 |
| 1245410422 | Kristine Carta Lane | Physician Assistant | 540 Saybrook Rd Ste 110, Middletown, CT 06457-4711 | 2007-11-06 |
| 1003001587 | Mary Chau Tran | Physician Assistant | 400 Saybrook Rd Ste 205, Middletown, CT 06457-4775 | 2007-09-07 |
| 1417153131 | Kimberly Marie Dembeck | Physician Assistant | 75 Crystal Run Rd Ste G40, Middletown, NY 10941-7000 | 2007-06-21 |
| 1659460236 | Irene Eng | Physician Assistant | 25 Myrtle Ave, Middletown, NY 10940-4122 | 2006-10-12 |
| 1821001298 | Byron Edward Schieber | Physician Assistant | 81 Constellation Ct, Middletown, PA 17057-5086 | 2006-08-15 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.