CHRISTOPHER PAUL GRUDOWSKI (NPI# 1821104647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821104647 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER PAUL GRUDOWSKI |
| Credential | MSN/FNP |
| Practice Address |
3 Bridge St Carthage NY 13619-1333 |
| Mailing Address |
6459 State Highway 56 # A Potsdam NY 13676-6423 |
| Practice Telephone | 3154934180 |
| Practice Fax Number | 3154934188 |
| Mailing Telephone | 3152655401 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333844 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 BRIDGE ST |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940274 | Brandi Ann Wilsie | Social Worker | 3 Bridge St, Carthage, NY 13619-1360 | 2019-09-09 |
| 1780232819 | Samantha Marie Barraclough | Physician Assistant | 3 Bridge St, Carthage, NY 13619-1360 | 2019-09-02 |
| 1316409808 | Tracy M. Tousant | Social Worker | 3 Bridge St, Carthage, NY 13619-1360 | 2019-04-03 |
| 1548742315 | Brittaney Hegard | Nurse Practitioner | 3 Bridge St, Carthage, NY 13619-1360 | 2018-08-29 |
| 1407358831 | Ann Marie Adams | Registered Nurse | 3 Bridge St, Carthage, NY 13619-1360 | 2018-03-01 |
| 1336650712 | Elise Marie Ingram | Physician Assistant | 3 Bridge St, Carthage, NY 13619-1360 | 2017-10-12 |
| 1457877276 | April Murphy | Social Worker | 3 Bridge St, Carthage, NY 13619-1360 | 2017-08-15 |
| 1932659190 | Karlye Eastman | Physical Therapist | 3 Bridge St, Carthage, NY 13619-1360 | 2016-10-11 |
| 1134574247 | Mccue Dental Carthage PC | Dentist | 3 Bridge St, Carthage, NY 13619-1360 | 2016-04-26 |
| 1821456914 | Erin Bufton | Registered Nurse | 3 Bridge St, Carthage, NY 13619-1360 | 2016-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1437696150 | Leslie Purvis | Nurse Practitioner | 1001 Monroe St Ste D, Carthage, NC 28327-5009 | 2017-01-20 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1891138780 | Baptist Medical Center - Leake, Inc. | Nurse Practitioner | 600 Highway 16 E, Carthage, MS 39051-4212 | 2013-04-10 |
| 1265779094 | Yvonne Danae Camper | Nurse Practitioner | 303 Ellis St, Carthage, MS 39051-3808 | 2013-01-14 |
| 1154675866 | Kimberly Sue-hicks Donze | Nurse Practitioner | 304 E Saunders St, Carthage, NC 28327-9343 | 2012-11-02 |
| 1205105319 | Cicily Dianne Cross-blair | Nurse Practitioner | 305 Cottage Rd, Carthage, TX 75633-1511 | 2011-12-19 |
| 1669635926 | Randi April Watkins | Nurse Practitioner | 407 S Valley St, Carthage, MS 39051-4051 | 2008-07-08 |
| Find all providers in CARTHAGE | ||||
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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.