KRISTA MARIE SHANHOLTZ


Address: 90 Presidential Plz, Syracuse, NY 13202-2240
Phone: 3154644357

KRISTA MARIE SHANHOLTZ (NPI# 1558978940) 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) 1558978940
Entity Type Individual
Full Name KRISTA MARIE SHANHOLTZ
Credential FNP, RN
Practice Address 90 Presidential Plz
Syracuse
NY 13202-2240
Mailing Address 311 Buckingham Ave
Syracuse
NY 13210-3313
Practice Telephone 3154644357
Mailing Telephone 6092891206
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 346664 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 90 PRESIDENTIAL PLZ
City SYRACUSE
State NY
Zip Code 13202-2240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992702278 Michael P Sharak Physician Assistant 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 2005-07-01
1689299505 Kimberly Ann Cerasani Nurse Practitioner 90 Presidential Plz, Syracuse, NY 13202-2240 2020-06-16
1235609512 Sara Marie Obrist Social Worker 90 Presidential Plz, Syracuse, NY 13202-2240 2018-11-29
1063949816 Catherine Bird Fessenden Student in an Organized Health Care Education/Training Program 90 Presidential Plz, Suite 300, Syracuse, NY 13202-2240 2017-05-11
1013469873 Davia Gaelin Moss Registered Nurse 90 Presidential Plz, Syracuse, NY 13202-2240 2016-10-27
1285183335 Stacy Jo Mcclintic Dietitian, Registered 90 Presidential Plz, Syracuse, NY 13202-2240 2016-09-30
1235590738 Lara Kratochwill Pharmacist 90 Presidential Plz, Adult Medicine Clinic, Syracuse, NY 13202-2240 2016-03-10
1699144527 Viktoria Kenney Nurse Practitioner 90 Presidential Plz, Syracuse, NY 13202-2240 2015-09-22
1053789610 Suny Upstate Clinic/Center 90 Presidential Plz, Syracuse, NY 13202-2240 2015-09-11
1053727503 Hassan Mahdi Al-khalisy Student in an Organized Health Care Education/Training Program 90 Presidential Plz, Syracuse, NY 13202-2240 2014-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255804456 Lisa Blachford Registered Nurse 421 Montgomery St Room 80, Syracuse, NY 13202 2019-01-10
1851873640 Syracuse Community Health Center, Inc. Case Management 819 South Salina Street, Syracuse, NY 13202 2018-08-29
1245739713 Telibra Lloyd Counselor 375 W Onondaga St Suite 10, Syracuse, NY 13202 2018-02-09
1326574534 Wendell Covell Social Worker 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 2017-05-08
1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
1427429760 Joshua Caryl Counselor 319 East Water Street, Syracuse, NY 13202 2015-10-13
1093140956 Jennifer B Mccaffrey Nurse Practitioner 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 2013-09-11
1336581552 Emily Renee Haggerty Hospitalist 500 Harrison St, 1705a, Syracuse, NY 13202 2013-07-30
1134470933 Tanya Marie Harlec Mcguire Genetic Counselor, MS 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 2012-09-20
1104176320 Mary Jo Maestri Genetic Counselor, MS 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 2012-09-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104451848 Gianna of Syracuse Medical Pllc Family Medicine 127 Chapel Dr., Syracuse, NY 13219-1919 2020-03-03
1235616210 Shelby Lynn Sharp Family Medicine 90 Presidential Plz Ste 5010, Syracuse, NY 13202-2240 2018-07-23
1245471705 Ihc Health Services Inc Family Medicine 745 South 2000 West, Syracuse, UT 84075 2009-03-13
1891932596 Marc Iqbal Family Medicine 5606 Bear Rd, Syracuse, NY 13212-1648 2009-01-16
1205073483 Paul Peter Stobnicke Family Medicine 504 Winkworth Pkwy, Syracuse, NY 13215-1554 2009-01-09
1700070216 Douglas Ahn Md Pllc Family Medicine 739 Irving Ave Ste 510, Syracuse, NY 13210-1663 2007-08-29
1114133402 Maryellen Cathleen Lewis Family Medicine 216 Seymour St, Syracuse, NY 13204-3208 2007-05-15
1346320140 Jack Prow Clark Family Medicine 518 Ems D15 Ln, Syracuse, IN 46567-8026 2006-10-16
1457445744 Frank Raymond Sharf Family Medicine 745 S 2000 W, Syracuse, UT 84075-9621 2006-10-03
1740392927 Warsaw Health System, LLC Family Medicine 808 S Huntington St, Syracuse, IN 46567-1810 2006-08-31
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Competitor

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City SYRACUSE
Zip Code 13202

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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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