STEPHANIE L RACZ (NPI# 1780176073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780176073 |
| Entity Type | Individual |
| Full Name | STEPHANIE L RACZ |
| Credential | PA-C |
| Practice Address |
1375 Washington Ave Ste 101 Albany NY 12206-1056 |
| Practice Telephone | 5184384483 |
| Practice Fax Number | 5184824201 |
| Mailing Telephone | 5184384483 |
| Mailing Fax Number | 5184824201 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 022043 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 022043 | 01 |
| Street Address |
1375 WASHINGTON AVE STE 101 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932333093 | Domenico Viterbo | Internal Medicine | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2009-05-05 |
| 1801493374 | Danielle Rhea Napieralski | Physician Assistant | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2020-10-07 |
| 1144700758 | Jenny Colleen Keane | Nurse Practitioner | 1375 Washington Ave Ste 101, Albany, NY 12206 | 2018-08-14 |
| 1518447127 | Felicia Catherine Rogers | Nurse Practitioner | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2018-08-14 |
| 1003316266 | Veronica E Striffler | Nurse Practitioner | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2018-02-14 |
| 1871017541 | Michelle Susan Mcelroy | Physician Assistant | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2017-08-03 |
| 1922365386 | Neil Volk | Internal Medicine | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2012-04-23 |
| 1134428907 | Jonathan Edward Barsa | Internal Medicine | 1375 Washington Ave Ste 101, Albany, NY 12206 | 2011-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| 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 |
|---|---|---|---|---|
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
| 1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
| 1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
| 1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
| 1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| 1417306374 | Larry James Edwards | Physician Assistant | 2030 Newton Rd, Albany, GA 31701-3520 | 2016-06-10 |
| 1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
| 1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
| Find all providers in ALBANY | ||||
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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.