COLLEEN MARY KRUG (NPI# 1578895652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578895652 |
Entity Type | Individual |
Full Name | COLLEEN MARY KRUG |
Credential | P.A. |
Practice Address |
10 George St Oswego NY 13126-3276 |
Mailing Address |
239 Oneida St Fulton NY 13069-1228 |
Practice Telephone | 3155984790 |
Practice Fax Number | 3155936195 |
Mailing Telephone | 3155920721 |
Mailing Fax Number | 3155984733 |
Enumeration Date | 2010-02-01 |
Last Update Date | 2012-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 015540 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | STAT OF NH LICENSE | 0764 | 01 |
NCCPA CERTIFICATION | 1091403 | 01 |
Street Address |
10 GEORGE ST |
City | OSWEGO |
State | NY |
Zip Code | 13126-3276 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306247036 | Richard Slagle | Nurse Practitioner | 10 George St, Oswego, NY 13126-3276 | 2014-09-12 |
1396145595 | Northern Oswego County Health Services, Inc. | Clinic/Center | 10 George St, Suite 200, Oswego, NY 13126-3276 | 2014-08-26 |
1912275793 | Edith Senyumba | Internal Medicine | 10 George St, Oswego, NY 13126-3276 | 2011-12-07 |
1194988758 | Terry C Salmonsen | Nurse Practitioner | 10 George St, Oswego, NY 13126-3276 | 2008-07-03 |
1376755421 | Great Lakes Dental Services, PC | Dentist | 10 George St, Oswego, NY 13126 | 2007-05-03 |
1457477499 | Curtis Charles Lieber | Physician Assistant | 10 George St, Oswego, NY 13126-3276 | 2007-03-21 |
1013025774 | Susan P. Nalle | Nurse Practitioner | 10 George St, Oswego, NY 13126-3276 | 2006-08-25 |
1467569319 | Joy E. Dolorico-magsino | Internal Medicine | 10 George St, Oswego, NY 13126-3276 | 2006-08-24 |
1790892644 | Scott C. Van Gorder | Family Medicine | 10 George St, Oswego, NY 13126-3276 | 2006-08-24 |
1255302162 | Margaret A Sennett | Internal Medicine | 10 George St, Oswego, NY 13126-3276 | 2006-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
Find all providers in zip 13126 |
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 |
---|---|---|---|---|
1922636364 | Meredith Alice Chesare | Physician Assistant | 28 Brown Dr, Oswego, NY 13126-6066 | 2020-03-31 |
1083240162 | Jennifer Bell | Physician Assistant | 38 Jay St, Oswego, IL 60543-3004 | 2020-03-20 |
1922587963 | Michael Carey | Physician Assistant | 140 W 6th St Ste 200, Oswego, NY 13126-2554 | 2018-08-10 |
1508974825 | Dinah M. Olson | Physician Assistant | 10 George St Ste 100, Oswego, NY 13126-3276 | 2006-08-27 |
1538109947 | Melissa Kay Best | Physician Assistant | 80 Templeton Drive, Oswego, IL 60543 | 2006-06-07 |
1740247493 | Jessica Marie Digby | Physician Assistant | 110 W Utica St, Oswego, NY 13126-3047 | 2006-04-27 |
1396381000 | Misty Putnam | Physician Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2019-11-18 |
1497245922 | Rockaway Emergency Medicine Services PC | Physician Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2018-05-10 |
1760908677 | Rebeca Jinga | Physician Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2017-08-22 |
1629473624 | Mary Useva | Physician Assistant | 74 Bunner St, Oswego, NY 13126-3357 | 2014-11-03 |
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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.