CASONDRA RUTH MCDERMOTT (NPI# 1780972489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780972489 |
Entity Type | Individual |
Full Name | CASONDRA RUTH MCDERMOTT |
Credential | RDH |
Practice Address |
819 S Salina St Syracuse NY 13202-3527 |
Practice Telephone | 3154767921 |
Practice Fax Number | 3154751448 |
Mailing Telephone | 3154767921 |
Mailing Fax Number | 3154751448 |
Enumeration Date | 2011-07-14 |
Last Update Date | 2016-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 025736-1 | NY | Dental Providers |
Street Address |
819 S SALINA ST |
City | SYRACUSE |
State | NY |
Zip Code | 13202-3527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235129933 | Roy A Smith | Family Medicine | 819 S Salina St, Syracuse, NY 13202-3527 | 2005-10-24 |
1053964031 | Aimee Hillman | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3570 | 2019-07-19 |
1972161925 | Dana N Baker | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3527 | 2019-06-04 |
1841858370 | Heather Pitts | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3570 | 2019-05-30 |
1225518707 | Erica Kendrew | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202 | 2018-08-15 |
1750800181 | Brenda L Schwarz-jaquin | Counselor | 819 S Salina St, Syracuse, NY 13202-3527 | 2017-09-18 |
1205355583 | Silvia Shenouda | Counselor | 819 S Salina St, Syracuse, NY 13202-3527 | 2017-09-18 |
1174046916 | Mary Angeli Maganto Aguinaldo | Internal Medicine | 819 S Salina St, Syracuse, NY 13202-3570 | 2017-07-24 |
1710417449 | Francesca Marie Scutari | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3527 | 2017-06-15 |
1255869517 | Janee Palmer | Dentist | 819 S Salina St, Syracuse, NY 13202 | 2017-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
Find all providers in zip 13202 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255880795 | Mary Poresky | Dental Hygienist | 819 S Salina St, Syracuse, NY 13202-3527 | 2016-09-26 |
1215484027 | Stephanie Allen | Dental Hygienist | 819 S Salina St, Syracuse, NY 13202-3527 | 2016-09-09 |
1750838561 | Samantha Garavelli | Dental Hygienist | 819 S Salina St, Syracuse, NY 13202-3527 | 2016-09-09 |
1194271908 | Stephanie C Hrynyk | Dental Hygienist | 819 S Salina St, Syracuse, NY 13202-3527 | 2016-08-31 |
1538615356 | Cynthia Ortiz | Dental Hygienist | 819 S Salina St, Syracuse, NY 13202-3527 | 2016-08-31 |
1245786052 | Gloria L Griffin | Dental Hygienist | 819 S Salina St, Syracuse, NY 13202-3527 | 2016-08-31 |
1679827141 | Linda N Runge | Dental Hygienist | 603 Oswego St, Syracuse, NY 13204-3127 | 2012-11-05 |
1578703666 | Tracy J Maurer | Dental Hygienist | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2009-03-02 |
1689700312 | Melanie Merriam | Dental Hygienist | 100 Intrepid Ln, Syracuse, NY 13205-2546 | 2007-02-26 |
1912075375 | Nanette Marie Ohern | Dental Hygienist | 100 Intrepid Ln, Syracuse, NY 13205-2546 | 2006-12-01 |
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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.