MARYJO BASHANT (NPI# 1609894732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609894732 |
| Entity Type | Individual |
| Full Name | MARYJO BASHANT |
| Credential | PA |
| Practice Address |
1101 Nott St Schenectady NY 12308-2425 |
| Mailing Address |
1462 Erie Blvd Suite 2 Schenectady NY 12305-1026 |
| Practice Telephone | 5182434000 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
003083 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE SHIELD | 000492051001 | 01 |
| FIDELIS CARE | 040511001095 | 01 |
| Street Address |
1101 NOTT ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12308-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234905 | David M Liebers | Internal Medicine | 1101 Nott St, Schenectady, NY 12308-2425 | 2005-06-10 |
| 1235730722 | Ryker Reilly Bodo | Pharmacist | 1101 Nott St, Schenectady, NY 12308-2425 | 2020-11-03 |
| 1417571290 | Michelle L Rightmyer | Registered Nurse | 1101 Nott St, Schenectady, NY 12308-2425 | 2020-06-08 |
| 1649804204 | Lisa Bzdell | Physical Therapist | 1101 Nott St, Schenectady, NY 12308-2489 | 2020-02-23 |
| 1427696129 | Mary Chew | Physical Therapist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1962040667 | Alexis Martino | Speech-Language Pathologist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1598303299 | Kevin Laurilla | Physical Therapist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1306484001 | Amy Souky | Speech-Language Pathologist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1851942908 | Emily Proper | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2489 | 2019-09-20 |
| 1245881382 | Carylann Hedderman Geddes | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2489 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004125 | Mary C O'brien | Registered Nurse | 90 Elmer Ave, Schenectady, NY 12308 | 2011-12-21 |
| 1114203882 | Gina R Davenport | Speech-Language Pathologist | Zoller Elementary School, 1180 Lancaster Street, Schenectady, NY 12308 | 2011-10-26 |
| 1831472315 | Laura A Denofio | Social Worker | 1445 The Plaza, Schenectady, NY 12308 | 2011-09-21 |
| 1023328440 | Anthony G. Cortese | Social Worker | 1362 Union Street, Schenectady, NY 12308 | 2010-10-19 |
| 1205142288 | Jessica Lee Schoen | Pharmacist | 461 Nott Street, Schenectady, NY 12308 | 2010-08-27 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1316274194 | Helping Hands Nurse Staffing Services, LLC | Nursing Care | 2180 Avenue B, Schenectady, NY 12308 | 2009-11-16 |
| 1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
| 1891973459 | Anthony Joseph De Palma Sr. | Dentist | 1351 Union Street, Schenectady, NY 12308 | 2008-02-06 |
| 1447464029 | Lauren Weisberg Savage | Social Worker | 1411 Union Street, Schen, NY 12308 | 2007-05-10 |
| Find all providers in zip 12308 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306973805 | Memorial Hospital | Physician Assistant | 207 Shirlwood Dr, Schenectady, NY 12306-3417 | 2007-02-28 |
| 1487291522 | Daniel Mclaren | Physician Assistant | 530 Liberty St, Schenectady, NY 12305-2014 | 2019-12-09 |
| 1871907840 | Rebecca Grugan | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2014-06-17 |
| 1386988418 | Maria Mooken | Physician Assistant | 1101 Nott St, B2, Schenectady, NY 12308-2425 | 2012-11-15 |
| 1013295484 | Lynn Ann Craft | Physician Assistant | 1101 Nott St, Schenectady, NY 12308 | 2011-08-02 |
| 1508012782 | Tara C Halvax | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2008-08-07 |
| 1518161140 | Patricia Louise Paone | Physician Assistant | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2007-06-14 |
| 1073535498 | Penny L. Mcelheny | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-07-24 |
| 1215955075 | Paul M Reo | Physician Assistant | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2006-07-18 |
| 1811915903 | Michael K. Grugan | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-07-17 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12308 |
Please comment or provide details below to improve the information on MARYJO BASHANT.
| 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.