MARY S RODDY (NPI# 1811461122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811461122 |
Entity Type | Individual |
Full Name | MARY S RODDY |
Other Name | MRS. MARY S DEBOTTIS |
Practice Address |
159 West First Street Oswego NY 13126 |
Mailing Address |
159 W 1st St Oswego NY 13126-2045 |
Practice Telephone | 3153429575 |
Mailing Telephone | 3153429575 |
Enumeration Date | 2019-01-20 |
Last Update Date | 2019-01-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 1276354181 | NY | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
159 West First Street, Oswego, NY 13126 | 3153429575 |
Street Address |
159 WEST FIRST STREET |
City | OSWEGO |
State | NY |
Zip Code | 13126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578717500 | Janet E Lell | Occupational Therapy Assistant | 159 West First Street, Oswego, NY 13031 | 2008-11-04 |
1275000101 | Jessica Rae Dickinson | Physical Therapy Assistant | 159 West First Street, Oswego, NY 13090 | 2018-10-29 |
1083106058 | Kelly Payer | Speech-Language Pathologist | 159 West First Street, Oswego, NY 13126 | 2018-06-05 |
1073031316 | Rebekah Proia | Occupational Therapy Assistant | 159 West First Street, Oswego, NY 13126 | 2017-09-07 |
1073052460 | Meg E Manke | Case Manager/Care Coordinator | 159 West First Street, Oswego, NY 13126 | 2017-02-17 |
1972963320 | Angela Lynn Patnode | Physical Therapist | 159 West First Street, Oswego, NY 13126 | 2016-02-27 |
1912383795 | Sian Boycheck | Physical Therapy Assistant | 159 West First Street, Oswego, NY 13126 | 2015-08-04 |
1801205117 | Ishita Vishrut Bhatt | Physical Therapist | 159 West First Street, Oswego, NY 13126 | 2014-08-12 |
1720492127 | Chelsea Way | Physical Therapist | 159 West First Street, Oswego, NY 13126 | 2014-06-13 |
1114337672 | Brittany Miller | Occupational Therapist | 159 West First Street, Oswego, NY 13126 | 2014-05-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
1285984856 | Jennifer Ellen Renzi | Specialist | 159 West 1st Street, Oswego, NY 13126 | 2012-09-11 |
1548307218 | Joanne Jeanette Wilkins | Specialist | 563 Tewksbury Cir, Oswego, IL 60543-8715 | 2007-01-31 |
1104869957 | Raj Kumar Mahajan | Specialist | 42 Montcalm St, Oswego, NY 13126 | 2006-06-13 |
1487633400 | Ajoy Kumar Roy | Specialist | 105 County Route 45a, Suite 400, Oswego, NY 13126-6664 | 2006-01-10 |
1891394284 | Reagan L Burker Hulbert | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-10-18 |
1427665355 | Ellen Marie Patulski | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-24 |
1407462963 | Victoria Lynn Morsette | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-21 |
1003422593 | Christina Ann Macholl | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-20 |
1205440674 | Nicole Hogancamp | Specialist | 159 W 1st St, Oswego, NY 13126-2045 | 2020-09-03 |
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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.