MR. TRAVIS ETWAROO (NPI# 1699215012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699215012 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS ETWAROO |
| Credential | PA-C |
| Practice Address |
890 Hunts Point Ave Bronx NY 10474-5402 |
| Practice Telephone | 7185892440 |
| Mailing Telephone | 7185892440 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 020713 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
890 HUNTS POINT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10474-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821063298 | Sonya Gale Brown | Family Medicine | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2006-02-21 |
| 1275070252 | Michelle Gunn | Social Worker | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2017-01-27 |
| 1598996381 | Davin Rockwell Cole | Physician Assistant | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2009-07-28 |
| 1285862128 | Jessica Rios-flores | Social Worker | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2009-06-30 |
| 1437317625 | Teryn Edwards | Pediatrics | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2008-05-25 |
| 1154450146 | Jennifer Ann Genuardi | General Practice | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2007-03-05 |
| 1982758066 | Urban Health Plan, Inc. | Clinic/Center | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2007-01-23 |
| 1811001316 | Sabina Makhdomi | Registered Nurse | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2006-08-19 |
| 1376657403 | Angela King | Nurse Practitioner | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2006-08-18 |
| 1134135114 | Viju Jacob | Pediatrics | 890 Hunts Point Ave, Bronx, NY 10474-5402 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801818919 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Baychester Ave, Bronx, NY 10474 | 2006-07-25 |
| 1881242790 | Raja Mohamed Musdhan Gurumohamed | Physical Therapist | Medical Center, 647 Bryant Ave, Bronx, NY 10474 | 2019-09-04 |
| 1669884474 | Lauren Plotnick | Speech-Language Pathologist | 1290 Spofford Ave, Bronx, NY 10474 | 2014-05-28 |
| 1487021135 | Bqn Car Service Corp | Secured Medical Transport (VAN) | 1106 Garrison Ave, Bronx, NY 10474-4601 | 2015-08-28 |
| 1487952784 | Urban Health Plan, Inc. | Clinic/Center | 1215 Seneca Ave, Bronx, NY 10474-4620 | 2011-03-10 |
| 1699198846 | Jaritza Joseph | Student in an Organized Health Care Education/Training Program | 1200 Seneca Ave, Apt 3c, Bronx, NY 10474-4624 | 2014-01-23 |
| 1356650501 | Binta Bah | Licensed Practical Nurse | 1216 Seneca Ave, Apt 5b, Bronx, NY 10474-4636 | 2010-10-05 |
| 1528540770 | Alexis E. Blanca | Speech-Language Pathologist | 950 Longfellow Ave, Bronx, NY 10474-4809 | 2018-09-04 |
| 1417482316 | Gina C Chusan | Social Worker | 837 Longfellow Ave Apt E, Bronx, NY 10474-4839 | 2017-04-27 |
| 1740679695 | Care for The Homeless | Clinic/Center | 800 Barretto St, Bronx, NY 10474-5304 | 2015-01-15 |
| Find all providers in zip 10474 | ||||
| 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 |
|---|---|---|---|---|
| 1982242319 | Leonard Ohene Takyi | Physician Assistant | 4180 Hutchinson River Pkwy E Apt 8c, Bronx, NY 10475-4826 | 2019-12-16 |
| 1669018032 | Natasha Kodua | Physician Assistant | 140 Asch Loop Apt 9e, Bronx, NY 10475-4040 | 2019-11-20 |
| 1073158010 | Abdoulaye Diallo | Physician Assistant | 1223 Tinton Ave Fl 3, Bronx, NY 10456-3673 | 2019-11-13 |
| 1538703954 | Frank Owusu | Physician Assistant | 500 E 165th St Apt 2e, Bronx, NY 10456-6658 | 2019-10-29 |
| 1629534649 | David A Rivera | Physician Assistant | 2105 Cruger Ave Apt 3g, Bronx, NY 10462-2363 | 2019-02-14 |
| 1679037980 | Ryan Patrick Garrow | Physician Assistant | 1200 Waters Pl Ste M108, Bronx, NY 10461-0367 | 2019-01-31 |
| 1336603331 | Joseph A Sanchez | Physician Assistant | 6 Ploughmans Bush, Bronx, NY 10471-3541 | 2019-01-24 |
| 1639651581 | Aaron Sosa | Physician Assistant | Tower 1, 1250 Waters Pl 11th Fl, Bronx, NY 10461 | 2018-09-06 |
| 1275032542 | Ahmed Mahir | Physician Assistant | 32 Westchester Sq, Bronx, NY 10461-3514 | 2018-02-01 |
| 1730601113 | Alexandra Taylor Martin | Physician Assistant | 661 King Avenue, Bronx, NY 10464 | 2017-07-07 |
| Find all providers in BRONX | ||||
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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.