LISA FITZMAURICE (NPI# 1457572034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457572034 |
| Entity Type | Individual |
| Full Name | LISA FITZMAURICE |
| Other Name | LISA TRACY |
| Credential | PA |
| Practice Address |
1040 State St Schenectady NY 12307-1508 |
| Mailing Address |
80 Pawling Ave Apt 2 Troy NY 12180-4755 |
| Practice Telephone | 5183745353 |
| Practice Fax Number | 5183825753 |
| Mailing Telephone | 6176943594 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 9017 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | 014901 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1040 STATE ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12307-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264153 | Nelson Miller | Specialist | 1040 State St, Schenectady, NY 12307-1508 | 2005-06-10 |
| 1750941910 | Elizabeth Petitt | Nurse Practitioner | 1040 State St, Schenectady, NY 12307-1508 | 2019-06-19 |
| 1922664549 | Courtney K Bell | Nurse Practitioner | 1040 State St, Schenectady, NY 12307-1508 | 2019-05-20 |
| 1396259685 | Ane Gardner Shoemaker | Physician Assistant | 1040 State St, Schenectady, NY 12307-1508 | 2017-11-22 |
| 1982123121 | Elissa Waskiewicz | Nurse Practitioner | 1040 State St, Schenectady, NY 12307-1508 | 2017-09-19 |
| 1669858528 | Julina K Scott | Physician Assistant | 1040 State St, Schenectady, NY 12307-1508 | 2015-08-03 |
| 1124291356 | Elaine Frances Kee | Nurse Practitioner | 1040 State St, Schenectady, NY 12307-1508 | 2008-04-09 |
| 1841477536 | Shelly M Chank | Nurse Practitioner | 1040 State St, Schenectady, NY 12307-1508 | 2008-01-25 |
| 1063634871 | Schuylar Crane Dawson | Nurse Practitioner | 1040 State St, Schenectady, NY 12307-1508 | 2007-05-02 |
| 1457477762 | Carla J Suna | Nurse Practitioner | 1040 State St, Schenectady, NY 12307-1508 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464322 | Emily Marsh | Social Worker | 738 State St, Schenectady, NY 12307 | 2018-01-02 |
| 1982820213 | Mohawk Opportunities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 201 Nott Terrace, Schenectady, NY 12307 | 2007-04-17 |
| 1194819854 | Carver Community Center of Schenectady, Inc. | Counselor | 846 State Street, Schenectady, NY 12307 | 2006-10-03 |
| 1003398033 | Miranda A Savignano | Dental Hygienist | 1044 State St, Schenectady, NY 12307 | 2018-09-06 |
| 1073579280 | Bharat B Langer | Psychiatry & Neurology | 1044 State St, Schenectady, NY 12307 | 2006-04-25 |
| 1366764755 | David A Geloso | Pharmacist | 1044 State Street, Schenectady, NY 12307-0000 | 2010-02-25 |
| 1881071819 | Bethesda House of Schenectady, Inc. | Psychologist | 834 State St, Schenectady, NY 12307-1202 | 2015-04-28 |
| 1326106956 | Thomas John Kuettel | Family Medicine | 846 State St, Schenectady, NY 12307-1202 | 2006-12-05 |
| 1265929210 | Kelly Noble | Registered Nurse | 738 State St, Schenectady, NY 12307-1206 | 2018-04-16 |
| 1518465251 | Tricia Brownell | Rehabilitation Counselor | 738 State St, Schenectady, NY 12307-1206 | 2018-01-29 |
| Find all providers in zip 12307 | ||||
| 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 |
|---|---|---|---|---|
| 1164957072 | Samantha Anne Relyea | Physician Assistant | 1101 Nott St # B5, Schenectady, NY 12308-2425 | 2017-04-28 |
| 1487939872 | Christopher J Bertino | Physician Assistant | 1 River Rd Bldg 43, Schenectady, NY 12345-8309 | 2011-10-17 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1578679338 | Karen A Mcgarry | Physician Assistant | 3757 Carman Rd., Suite 100, Schenectady, NY 12303 | 2006-08-22 |
| 1780626531 | Richard A Butz | Physician Assistant | 1322 Gerling St, Schenectady, NY 12308-1702 | 2006-06-12 |
| 1124022611 | Joseph A Petrosino | Physician Assistant | 2125 River Rd Ste 303, Schenectady, NY 12309-1135 | 2005-06-13 |
| 1356958896 | Kristen Lee Hebert | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2020-09-29 |
| 1285246488 | Perri Clifford | Physician Assistant | 2125 River Rd Ste 303b, Schenectady, NY 12309-1136 | 2020-08-19 |
| 1750927158 | Robert Akey | Physician Assistant | 2125 River Rd Ste 203, Schenectady, NY 12309-1135 | 2019-11-20 |
| 1861034969 | Mallory Macdonald | Physician Assistant | 1400 Altamont Ave, Schenectady, NY 12303-2909 | 2019-10-10 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12307 |
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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.