HEATHER M. STAMOUR (NPI# 1700486065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700486065 |
| Entity Type | Individual |
| Full Name | HEATHER M. STAMOUR |
| Other Name | HEATHER M. MOUTON |
| Credential | NP |
| Practice Address |
5719 Widewaters Pkwy Syracuse NY 13214-1985 |
| Mailing Address |
5719 Widewaters Pkwy Syracuse NY 13214 |
| Practice Telephone | 3152513100 |
| Practice Fax Number | 3154499923 |
| Mailing Telephone | 3152513100 |
| Mailing Fax Number | 3154499923 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
310039 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5719 WIDEWATERS PKWY |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598805 | Michael T Clarke | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 | 2005-06-16 |
| 1962062364 | Onondaga Orthopedics LLP | Durable Medical Equipment & Medical Supplies | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2019-06-18 |
| 1548711583 | Laura Yasuko Goodwell-velez | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
| 1811448855 | Laurance Goodwin IIi | Specialist/Technologist | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2016-10-14 |
| 1326486754 | Nicole I. Jones | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-06-07 |
| 1821330176 | Anthony M Orio | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2013-03-25 |
| 1790036697 | Marvin Balmir | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2012-10-02 |
| 1295093763 | Cassandra Riggs | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214 | 2012-05-02 |
| 1275845760 | Melissa A Cullinan | Physician Assistant | 5719 Widewaters Pkwy, Syracuse, NY 13214-1877 | 2010-07-13 |
| 1225359532 | Justin Iorio | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | 2010-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023520038 | Michaela Marie Murphy | Nurse Practitioner | 104 Union Ave Ste 901, Syracuse, NY 13203-1845 | 2017-10-31 |
| 1699299438 | Mary H Ryan | Nurse Practitioner | 302 Ludden Pkwy, Syracuse, NY 13219-3024 | 2017-08-02 |
| 1619302619 | Jennie Marie Doane | Nurse Practitioner | 236 Belle Ave, Syracuse, NY 13205-1938 | 2013-09-09 |
| 1376852129 | Pamela Wilcox Salisbury | Nurse Practitioner | 413 Breakspear Rd, Syracuse, NY 13219-2315 | 2010-09-28 |
| 1295975159 | Carol Ann Carioti | Nurse Practitioner | 101 Hamden Dr, Syracuse, NY 13208-1936 | 2009-03-04 |
| 1720206352 | Mary L. Salerno | Nurse Practitioner | 1007 Court St, Syracuse, NY 13208-1708 | 2007-04-20 |
| 1811030828 | Donna Ann Gillette | Nurse Practitioner | St. Camillus Health & Rehabilitation Center, 813 Fay Rd, Syracuse, NY 13219 | 2007-02-15 |
| 1225186588 | Marguerite H Mallia | Nurse Practitioner | 5075 W Senecatpke, Van Duyn Home & Hospital, Syracuse, NY 13215-2292 | 2007-01-05 |
| 1194837526 | Gail Mccue Donnery | Nurse Practitioner | 1000 E Genesee St Ste 403, Hill Medical Center, Syracuse, NY 13210-1840 | 2006-08-31 |
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| Find all providers in SYRACUSE | ||||
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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.