MALLORY C EDWARDS (NPI# 1467876409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467876409 |
| Entity Type | Individual |
| Full Name | MALLORY C EDWARDS |
| Credential | PA-C |
| Practice Address |
79 North St Granville NY 12832-1137 |
| Practice Telephone | 5186420612 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 017372 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225592850 | Mallory Ann Edwards | Massage Therapist | 223 Madrona Ave Se, Salem, OR 97302-4609 | 2019-01-28 |
| 1598147191 | Mallory Edwards | Hearing Instrument Specialist | 1905 W North St, Springfield, OH 45504-2956 | 2015-06-19 |
| Street Address |
79 NORTH ST |
| City | GRANVILLE |
| State | NY |
| Zip Code | 12832-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645826 | Ann Marie Gregory | Nurse Practitioner | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2005-11-03 |
| 1881186930 | Brandy Lee Wadsworth | Registered Nurse | 79 North St, Granville, NY 12832 | 2018-06-05 |
| 1679093439 | Megan Amber Rozell | Physician Assistant | 79 North St, Granville, NY 12832-1137 | 2017-06-22 |
| 1619222759 | Glens Falls Hospital Inc | Pediatrics | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2012-07-16 |
| 1417211962 | North Country Sports Medicine Pllc | Orthopaedic Surgery | 79 North St, Granville, NY 12832-1137 | 2012-06-29 |
| 1306974845 | Cynthia Larrabee Short | Internal Medicine | 79 North St, Granville, NY 12832-1137 | 2007-02-28 |
| 1124169453 | Sean L Kimball | Family Medicine | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2007-02-09 |
| 1083665582 | Gordon M Thomas | Family Medicine | 79 North St, Granville Family Health Center, Granville, NY 12832-1137 | 2006-05-12 |
| 1174591796 | W Marvin Day | Physician Assistant | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2006-03-09 |
| 1477528537 | Eileen M Spillane | Family Medicine | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851769541 | Freds Pharmacy LLC | Pharmacy | 75 Quaker Street, Granville, NY 12832 | 2015-09-11 |
| 1013353796 | Bianca B. Bernard | Registered Nurse | 84 East Potter Avenue, Granville, NY 12832 | 2013-05-21 |
| 1659693166 | Courtney Alexis Washburn | Pharmacist | 116 Quaker St, Granville, NY 12832 | 2010-02-25 |
| 1720114564 | Arnold Small | Dentist | The Orchard Nursing and Rehabilitation Centre, 10421state Route40, Granville, NY 12832 | 2007-02-26 |
| 1609933423 | Granville Central School District | Local Education Agency (LEA) | 58 Quaker St, Granville, NY 12832 | 2007-01-02 |
| 1891880944 | Anne E Riker | Physician Assistant | 17 Madison Street, Granville, NY 12832 | 2006-10-04 |
| 1184933475 | Elizabethtown Community Hospital | General Acute Care Hospital | 66 Park Street, Suite 100, Elizabethtown, NY 12832-0000 | 2010-10-04 |
| 1942653852 | Laurie Ann Dennison | Registered Nurse | 15 Pine St, Granville, NY 12832-1111 | 2016-07-15 |
| 1952873259 | Michelle Parbus | Physician Assistant | 24 Pine St, Granville, NY 12832-1127 | 2018-12-26 |
| 1710371539 | 73 North of Granville, Inc. | Custodial Care Facility | 73 North St, Granville, NY 12832-1136 | 2015-03-19 |
| Find all providers in zip 12832 | ||||
| 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 |
|---|---|---|---|---|
| 1558448662 | Vincent Emerson Engel | Physician Assistant | 136 Shepardson Ct, Granville, OH 43023-1155 | 2006-11-01 |
| 1952873259 | Michelle Parbus | Physician Assistant | 24 Pine St, Granville, NY 12832-1127 | 2018-12-26 |
| 1679093439 | Megan Amber Rozell | Physician Assistant | 79 North St, Granville, NY 12832-1137 | 2017-06-22 |
| 1780954206 | Michael Joseph Snedeker | Physician Assistant | 2000 Newark Granville Rd, 202, Granville, OH 43023-7009 | 2012-01-02 |
| 1891711644 | Nicole Renee Carrier | Physician Assistant | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2006-07-14 |
| 1174591796 | W Marvin Day | Physician Assistant | 79 North St, Granville Family Health, Granville, NY 12832-1137 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
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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.