JESSICA SHUMWAY (NPI# 1750765848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750765848 |
| Entity Type | Individual |
| Full Name | JESSICA SHUMWAY |
| Credential | PA-C |
| Practice Address |
380 County Route 51 Malone NY 12953-4504 |
| Practice Telephone | 5134830109 |
| Mailing Telephone | 5134830109 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 018707-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
380 COUNTY ROUTE 51 |
| City | MALONE |
| State | NY |
| Zip Code | 12953-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003929134 | Marcia J Raville | Social Worker | 380 County Route 51, Malone, NY 12953-4504 | 2006-08-15 |
| 1962069716 | Kelsie St Louis | Physician Assistant | 380 County Route 51, Malone, NY 12953-4504 | 2019-05-28 |
| 1386194173 | Daniel J Sanchez | Physician Assistant | 380 County Route 51, Malone, NY 12953-4504 | 2016-10-05 |
| 1477989424 | Brooke Alison Davidson | Physician Assistant | 380 County Route 51, Malone, NY 12953-4504 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| 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 |
|---|---|---|---|---|
| 1316067101 | Marie Haggarty | Physician Assistant | 187 Park St Ste 2, Malone, NY 12953-1233 | 2007-03-29 |
| 1356351399 | Robert W Stout | Physician Assistant | 183 Park St Ste 7&8, Malone, NY 12953-1242 | 2006-08-09 |
| 1578123139 | Tammy Marie Coffey | Physician Assistant | 183 Park St, Malone, NY 12953-1242 | 2019-06-17 |
| 1962069716 | Kelsie St Louis | Physician Assistant | 380 County Route 51, Malone, NY 12953-4504 | 2019-05-28 |
| 1255883013 | Sarah Moore | Physician Assistant | 5 Clay St, Malone, NY 12953-1905 | 2016-10-27 |
| 1386194173 | Daniel J Sanchez | Physician Assistant | 380 County Route 51, Malone, NY 12953-4504 | 2016-10-05 |
| 1144690041 | Christin Bell | Physician Assistant | 3372 State Route 11, Suite H- Cedar Commons, Malone, NY 12953-4735 | 2015-10-05 |
| 1154721546 | James David Vanness | Physician Assistant | 31 6th St, Malone, NY 12953-1246 | 2014-09-04 |
| 1477989424 | Brooke Alison Davidson | Physician Assistant | 380 County Route 51, Malone, NY 12953-4504 | 2013-09-23 |
| 1629298336 | Gregory Paul Toczko | Physician Assistant | 133 Park St, Malone, NY 12953-1243 | 2007-04-26 |
| Find all providers in MALONE | ||||
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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.