STEPHEN CZUMAK (NPI# 1598325292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598325292 |
| Entity Type | Individual |
| Full Name | STEPHEN CZUMAK |
| Credential | NP |
| Practice Address |
30 Harrison St Ste 460 Johnson City NY 13790-2176 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905 |
| Practice Telephone | 6077638101 |
| Practice Fax Number | 6077638049 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 345105 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 HARRISON ST STE 460 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408712 | Christopher Devon Williamson | Physician Assistant | 30 Harrison St Ste 460, Johnson City, NY 13790 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468923 | Bobby Ray Nichols IIi | Nurse Practitioner | 2708 S Greenwood Dr, Johnson City, TN 37604-3260 | 2020-02-11 |
| 1932748829 | Shape Shifters Weight Loss and Joint Center | Nurse Practitioner | 104 University Pkwy Ste 1, Johnson City, TN 37604-7349 | 2019-12-26 |
| 1205484920 | Violetta Ward | Nurse Practitioner | 1505 Chickees St, Johnson City, TN 37604-7102 | 2019-08-27 |
| 1972077816 | Betty Christian Kinser | Nurse Practitioner | 3135 Peoples St Ste 303, Johnson City, TN 37604-4130 | 2019-01-14 |
| 1912489261 | Casey Lynn Davis | Nurse Practitioner | 208 Sunset Dr Ste 340, Johnson City, TN 37604-2521 | 2018-09-04 |
| 1356831101 | Sheena L Tullock | Nurse Practitioner | 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 | 2018-05-17 |
| 1093212516 | Brandy Michelle Story | Nurse Practitioner | 1321 Sunset Dr Ste 11, Johnson City, TN 37604-7902 | 2018-04-11 |
| 1265959316 | Ashley Gross | Nurse Practitioner | 411 Princeton Rd Ste 101, Johnson City, TN 37601-2049 | 2017-08-29 |
| 1114454857 | Janet Gar | Nurse Practitioner | 1319 Bell Ridge Rd Apt 703, Johnson City, TN 37601-8021 | 2017-05-12 |
| 1720527674 | Kristina Bagley | Nurse Practitioner | 101 Medtech Parkway, Suite 200, Johnson City, TN 37604-4007 | 2017-02-13 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on STEPHEN CZUMAK.
| 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.