MR. MICHAEL MEDINA (NPI# 1548815731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548815731 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL MEDINA |
| Credential | PA |
| Practice Address |
5546 Broadway Bronx NY 10463-5250 |
| Practice Telephone | 9173832164 |
| Mailing Telephone | 9173832164 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1487122164 | Michael Medina | Behavior Technician | 36 Oak Ln, Mountain View, CA 94040-2629 | 2018-11-11 |
| 1114461522 | Michael Medina | Behavior Technician | 201 Saint Charles Ave Ste 2500, New Orleans, LA 70170-2500 | 2016-12-05 |
| 1467879429 | Michael Medina | Licensed Practical Nurse | 1510 Waters Pl, Bronx, NY 10461-2700 | 2014-03-27 |
| 1417299538 | Michael Medina | Student in an Organized Health Care Education/Training Program | 301 University Blvd # 2-a, Galveston, TX 77555-0591 | 2013-03-27 |
| 1093979783 | Michael V Medina IIi | Otolaryngology | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2008-07-11 |
| 1356503056 | Michael Medina | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2008-06-25 |
| Street Address |
5546 BROADWAY |
| City | BRONX |
| State | NY |
| Zip Code | 10463-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026635 | Kingsbridge Medical Services, Pllc | Clinic/Center | 5546 Broadway, Bronx, NY 10463-5250 | 2018-06-11 |
| 1700492436 | Nnamdi Uwakwe | Nurse Practitioner | 5546 Broadway, Bronx, NY 10463-5250 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| 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 |
|---|---|---|---|---|
| 1982242319 | Leonard Ohene Takyi | Physician Assistant | 4180 Hutchinson River Pkwy E Apt 8c, Bronx, NY 10475-4826 | 2019-12-16 |
| 1669018032 | Natasha Kodua | Physician Assistant | 140 Asch Loop Apt 9e, Bronx, NY 10475-4040 | 2019-11-20 |
| 1073158010 | Abdoulaye Diallo | Physician Assistant | 1223 Tinton Ave Fl 3, Bronx, NY 10456-3673 | 2019-11-13 |
| 1538703954 | Frank Owusu | Physician Assistant | 500 E 165th St Apt 2e, Bronx, NY 10456-6658 | 2019-10-29 |
| 1629534649 | David A Rivera | Physician Assistant | 2105 Cruger Ave Apt 3g, Bronx, NY 10462-2363 | 2019-02-14 |
| 1679037980 | Ryan Patrick Garrow | Physician Assistant | 1200 Waters Pl Ste M108, Bronx, NY 10461-0367 | 2019-01-31 |
| 1336603331 | Joseph A Sanchez | Physician Assistant | 6 Ploughmans Bush, Bronx, NY 10471-3541 | 2019-01-24 |
| 1639651581 | Aaron Sosa | Physician Assistant | Tower 1, 1250 Waters Pl 11th Fl, Bronx, NY 10461 | 2018-09-06 |
| 1275032542 | Ahmed Mahir | Physician Assistant | 32 Westchester Sq, Bronx, NY 10461-3514 | 2018-02-01 |
| 1730601113 | Alexandra Taylor Martin | Physician Assistant | 661 King Avenue, Bronx, NY 10464 | 2017-07-07 |
| Find all providers in BRONX | ||||
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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.