MRS. SUSAN BORCHARDT (NPI# 1427279512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427279512 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN BORCHARDT |
| Practice Address |
3136 Oneida St Sauquoit NY 13456-2800 |
| Practice Telephone | 3157373522 |
| Practice Fax Number | 3157373526 |
| Mailing Telephone | 3157373522 |
| Mailing Fax Number | 3157373526 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
381110 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962819540 | Susan Marie Borchardt | Social Worker | Mcdonald Army Health Center, 576 Jefferson Ave, Ft. Eustis, VA 23604-5442 | 2014-07-16 |
| Street Address |
3136 ONEIDA ST |
| City | SAUQUOIT |
| State | NY |
| Zip Code | 13456-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730164245 | Marc David Ritter | Pediatrics | 3136 Oneida St, Sauquoit, NY 13456-2800 | 2005-12-07 |
| 1417441718 | Anita Dervisevic | Nurse Practitioner | 3136 Oneida St, Sauquoit, NY 13456-2800 | 2018-06-19 |
| 1558581983 | Jody Marie Scoones | Nurse Practitioner | 3136 Oneida St, Sauquoit, NY 13456-2800 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730368994 | Brenda Lee Gelfuso | Physical Therapy Assistant | 3089 King Road, Sauquoit, NY 13456 | 2007-10-24 |
| 1528191863 | Edith M Depeyster | Occupational Therapist | 9440 Butler Rd, Sauquoit, NY 13456-2010 | 2007-03-14 |
| 1750937488 | Darcy Gorski | Physician Assistant | 8736 Summit Rd, Sauquoit, NY 13456-2418 | 2019-08-19 |
| 1942505581 | Sally Claycomb Townsend | Occupational Therapist | 9346 Sessions Rd, Sauquoit, NY 13456-2512 | 2011-01-12 |
| 1821615964 | Ryan Stalker | Student in an Organized Health Care Education/Training Program | 9415 Willow Brook Ln, Sauquoit, NY 13456-2811 | 2020-07-05 |
| 1003957317 | Judith Owens-manley | Social Worker | 2983 Oneida St, Sauquoit, NY 13456-2915 | 2007-02-09 |
| 1083602221 | Cheryl C Mattern | Family Medicine | 3007 Oneida St, Sauquoit, NY 13456-2917 | 2005-10-12 |
| 1871120212 | Cheryl Bunn | Peer Specialist | 32 Pine Cir, Sauquoit, NY 13456-2920 | 2020-03-25 |
| 1023517661 | Janet Kaskela | Licensed Practical Nurse | 9519 Pinnacle Rd, Sauquoit, NY 13456-3017 | 2018-02-09 |
| 1831110683 | Chad Joseph Cardillo | Physical Therapist | 9643 Pinnacle Rd, Sauquoit, NY 13456-3041 | 2006-07-21 |
| Find all providers in zip 13456 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.