COLLEEN MARY KRUG


Address: 10 George St, Oswego, NY 13126-3276
Phone: 3155984790

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 015540 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH STAT OF NH LICENSE 0764 01
NCCPA CERTIFICATION 1091403 01

Office Location

Street Address 10 GEORGE ST
City OSWEGO
State NY
Zip Code 13126-3276

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 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
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
Find all providers in OSWEGO

Competitor

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City OSWEGO
Zip Code 13126

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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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