JILL J WEATHERLY


Address: 4900 Broad Rd Ofc, Syracuse, NY 13215-2265
Phone: 3154648525

JILL J WEATHERLY (NPI# 1497158158) 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) 1497158158
Entity Type Individual
Full Name JILL J WEATHERLY
Credential P.A
Practice Address 4900 Broad Rd Ofc
Syracuse
NY 13215-2265
Mailing Address 4900 Broad Rd
Syracuse
NY 13215-2265
Practice Telephone 3154648525
Mailing Telephone 3154648525
Enumeration Date 2014-10-08
Last Update Date 2014-10-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 018134 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4900 BROAD RD OFC
City SYRACUSE
State NY
Zip Code 13215-2265

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396367785 Jeffrey Alan Gaulrapp Registered Nurse Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 2020-05-08
1134752454 Crystal Elizabeth Hoban Marriage & Family Therapist 4922 W. Seneca Turnpike, Syracuse, NY 13215 2020-02-14
1083004907 Roger G Levine Md Psychiatric Residential Treatment Facility 4914 West Seneca Turnpkie, Syracuse, NY 13215 2015-01-30
1558771071 Edleanna Robinson Licensed Practical Nurse 5075 W Seneca Turnpike, Syracuse, NY 13215 2014-05-06
1689013450 Rhonda Lee Philopena Emergency Medicine 4900 Broad Rd 1st Fl, Syracuse, NY 13215 2013-06-14
1962778498 Marie Anne Stevens Licensed Practical Nurse 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 2012-03-29
1033439088 Anna-marie Simpson Chiropractor 4922 W Seneca Tpke, Syracuse, NY 13215 2010-06-01
1992028690 A John Wylie Pharmacist 4840 Sherwood Dr., Syracuse, NY 13215 2010-03-09
1669616512 Asalim A Thabet Emergency Medicine 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 2009-04-22
1992948707 Jesse Reed Gutnick Surgery 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 2009-04-08
Find all providers in zip 13215

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
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
1922373760 Katie Marie Simpson Physician Assistant 1000 E Genesee St Ste 205, Syracuse, NY 13210-1853 2012-03-13
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13215

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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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