MR. DAVID NAGEL HAMMACK


Address: 4101 Medical Center Dr, Fayetteville, NY 13066-6600
Phone: 3156377878

MR. DAVID NAGEL HAMMACK (NPI# 1497006043) 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) 1497006043
Entity Type Individual
Full Name MR. DAVID NAGEL HAMMACK
Credential P.A.
Practice Address 4101 Medical Center Dr
Fayetteville
NY 13066-6600
Practice Telephone 3156377878
Practice Fax Number 3156377870
Mailing Telephone 3156377878
Mailing Fax Number 3156377870
Enumeration Date 2012-09-23
Last Update Date 2013-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 016022 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03522534 05

Other Providers DAVID HAMMACK

NPI Name Taxonomy Address Enumeration
1720045305 David B Hammack Radiology 762 Route 3, Suite 14, Plattsburgh, NY 12901-7472 2006-04-27

Office Location

Street Address 4101 MEDICAL CENTER DR
City FAYETTEVILLE
State NY
Zip Code 13066-6600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417937780 David T Ouyang Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6600 2006-01-20
1689012650 Dawn C Richardson Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6600 2013-06-12
1013295047 Vijaya Seepana Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6600 2011-07-25
1508965484 Robert Feldman Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6600 2006-09-21
1255361721 Thomas I Osborn Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6600 2006-07-03
1477514263 Keith S Murray Physician Assistant 4101 Medical Center Dr, Fayetteville, NY 13066-6610 2006-03-31
1659332435 Sally A Palmer Nurse Practitioner 4101 Medical Center Dr, Fayetteville, NY 13066-6610 2006-03-31
1184685018 Allan M Birnbaum Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6610 2006-03-30
1255392270 Robert G Parke Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6610 2006-03-29
1275593600 James G Lodolce Family Medicine 4101 Medical Center Dr, Fayetteville, NY 13066-6610 2006-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457819963 Word Wellness Center, LLC Psychologist 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 2019-03-05
1629529060 Lorna Boyer Chase Marriage & Family Therapist 109 White Heron Circle, Fayetteville, NY 13066 2016-10-20
1699221432 Roman Batyuk Nurse Practitioner 4100 Medical Center Drive, Fayetteville, NY 13066 2016-08-31
1427405133 National Eye Care, Inc Optometrist 5160 Kinloch Circle, Fayetteville, NY 13066 2016-05-23
1013375328 Kristin Kukenberger Chiropractor 7000 E Genesee St Bldg B, Fayetteville, NY 13066 2016-02-01
1124394671 Susan Hartman Brenizer Marriage & Family Therapist 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 2012-03-29
1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
1689815805 Menorah Park Group Residents Clinic/Center 12 Jamar Drive, Dewitt, NY 13066 2009-03-18
1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
1629232418 Tucker Martin Harris Otolaryngology 4000 Medical Center Dr # 117, Fayetteville, NY 13066 2008-07-11
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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
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 13066

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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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