PANDA MEDICAL PC (NPI# 1851699946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851699946 |
| Entity Type | Organization |
| Organization Name | PANDA MEDICAL PC |
| Practice Address |
340 Montauk Hwy Suite 2 West Islip NY 11795-4437 |
| Practice Telephone | 6314828824 |
| Practice Fax Number | 6314828827 |
| Mailing Telephone | 6314828824 |
| Mailing Fax Number | 6314828827 |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |
| Authorized Official Name | SREE P PANDA (PRESIDENT) |
| Authorized Official Telephone | 6314828824 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 253322 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
340 MONTAUK HWY SUITE 2 |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962440834 | Charles Levinson | Physician Assistant | 340 Montauk Hwy, West Islip, NY 11795-4437 | 2006-06-03 |
| 1730470691 | Guirand Medical PC | General Practice | 340 Montauk Hwy, Suite 2, West Islip, NY 11795-4437 | 2011-04-27 |
| 1144528233 | Onal Medical PC | General Practice | 340 Montauk Hwy, Suite 2, West Islip, NY 11795-4437 | 2011-03-14 |
| 1699077008 | South Main Chiropractic,p.c. | Chiropractor | 340 Montauk Hwy, Suite 2, West Islip, NY 11795-4437 | 2010-11-18 |
| 1649445941 | Bonnie Jean Greene | Physician Assistant | 340 Montauk Hwy, West Islip, NY 11795-4437 | 2008-04-28 |
| 1811095581 | James Marzec | Orthopaedic Surgery | 340 Montauk Hwy, West Islip, NY 11795-4437 | 2006-09-20 |
| 1457459133 | Steven Simonsen | Orthopaedic Surgery | 340 Montauk Hwy, West Islip, NY 11795-4437 | 2006-09-20 |
| 1134227820 | South Shore Orthopaedics Associates | Orthopaedic Surgery | 340 Montauk Hwy, West Islip, NY 11795-4437 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730470691 | Guirand Medical PC | General Practice | 340 Montauk Hwy, Suite 2, West Islip, NY 11795-4437 | 2011-04-27 |
| 1144528233 | Onal Medical PC | General Practice | 340 Montauk Hwy, Suite 2, West Islip, NY 11795-4437 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
Please comment or provide details below to improve the information on PANDA MEDICAL PC.
| 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.