TABATHA JORGENSEN


Address: 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651
Phone: 3157012550

TABATHA JORGENSEN (NPI# 1477950400) 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) 1477950400
Entity Type Individual
Full Name TABATHA JORGENSEN
Practice Address 739 Irving Ave
Suite 600
Syracuse
NY 13210-1651
Mailing Address 1001 W Fayette St
Suite 400
Syracuse
NY 13204-2859
Practice Telephone 3157012550
Practice Fax Number 3157012551
Mailing Telephone 3157012550
Mailing Fax Number 3157012551
Enumeration Date 2014-11-19
Last Update Date 2019-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 018386 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 739 IRVING AVE
SUITE 600
City SYRACUSE
State NY
Zip Code 13210-1651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750384004 Brenda A Baker Nurse Practitioner 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 2005-05-31
1538604053 Darren Kwee Physician Assistant 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 2016-12-20
1093268153 Mackenzie Renee Rotella Nurse Practitioner 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 2016-07-25
1811348642 Sara Finney Physician Assistant 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 2016-06-22
1174990592 Anna Buckman Nurse Practitioner 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 2015-09-02
1073999769 Carly Hornis Obstetrics & Gynecology 739 Irving Ave, Suite 530, Syracuse, NY 13210-1663 2015-08-04
1144604117 Brandy Leary Nurse Practitioner 739 Irving Ave, Suite 450, Syracuse, NY 13210-1651 2015-07-19
1639559305 Crouse Medical Practice Pllc Internal Medicine 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 2015-06-08
1568874881 Crouse Medical Practice Pllc Non-Pharmacy Dispensing Site 739 Irving Ave, Suite 200 and 300, Syracuse, NY 13210-1651 2014-05-21
1427487412 Shikela Giles Nurse Practitioner 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 2013-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679133359 Nicole Raczkowski Physician Assistant 121 Gertrude St Apt 1, Syracuse, NY 13203-2441 2019-06-16
1710544218 Silver Lining Medical & Consulting, LLC Physician Assistant 2876 S 1200 W, Syracuse, UT 84075-8653 2019-05-21
1942779871 Elizabeth Eileen Chaskey Physician Assistant 103 Lockwood Rd, Syracuse, NY 13214-2032 2018-11-20
1316452964 Merrick Lynne Doody Physician Assistant 104 Union Ave # 806-807, Syracuse, NY 13203-1843 2017-12-05
1831640440 Elana Radin Physician Assistant 4440 Ashfield Ter, Syracuse, NY 13215-2463 2016-10-18
1659820835 Eric Lance Brandenburg Physician Assistant 1120 Westmoreland Ave, Syracuse, NY 13210-3161 2016-09-28
1831555747 Ward Irvin Jr. Physician Assistant 104 Union Ave Ste 908, Syracuse, NY 13203-1845 2016-01-07
1497158158 Jill J Weatherly Physician Assistant 4900 Broad Rd Ofc, Syracuse, NY 13215-2265 2014-10-08
1144563800 Melissa Anne Harnsberger Physician Assistant 1000 E Genesee St Ste 300, Syracuse, NY 13210-1853 2013-04-01
1306184403 Adriane Nicole Arnold Physician Assistant 317 S Clinton St, Apt 4d, Syracuse, NY 13202-1216 2013-01-23
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Competitor

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City SYRACUSE
Zip Code 13210

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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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