DOMINIQUE S FERTAL (NPI# 1891220810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891220810 |
Entity Type | Individual |
Full Name | DOMINIQUE S FERTAL |
Other Name | DOMINIQUE S STRYKER |
Credential | CRNA |
Practice Address |
350 Parrish St Canandaigua NY 14424-1731 |
Mailing Address |
601 Elmwood Ave Box 604 Rochester NY 14642-0001 |
Practice Telephone | 5859192668 |
Practice Fax Number | 5853966455 |
Mailing Telephone | 5852751385 |
Enumeration Date | 2017-04-27 |
Last Update Date | 2020-01-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN656120 | PA | Nursing Service Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | 629842 | NY | Physician Assistants & Advanced Practice Nursing Providers |
N | 367500000X | Nurse Anesthetist, Certified Registered | RN656120 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
350 PARRISH ST |
City | CANANDAIGUA |
State | NY |
Zip Code | 14424-1731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104801992 | Erin E Howe | Rehabilitation Practitioner | 350 Parrish St, Continuing Care Center, Canandaigua, NY 14424-1731 | 2005-12-14 |
1518568567 | Oliver Gilroy | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-11-05 |
1265031009 | Lyndsi Marie Sweet | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-10-22 |
1912505439 | Sarah Stubler | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1793 | 2020-10-16 |
1447864566 | Jennie Grace Hayes | Occupational Therapist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-09-04 |
1396359907 | Lisa Ann Feeney | Pharmacist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-09-01 |
1578184941 | Amy Christine Hull | Nurse Practitioner | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-04-27 |
1417584293 | Victoria Story | Physical Therapy Assistant | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-03-24 |
1609403377 | Sarah Ann Williams | Occupational Therapist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-03-24 |
1972134500 | Emily C Munn | Physical Medicine & Rehabilitation | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-02-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
Find all providers in zip 14424 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467794677 | Diane O'shaughnessy | Nurse Anesthetist, Certified Registered | 350 Parrish St, Canandaigua, NY 14424-1731 | 2013-03-26 |
1558490201 | Frederick Ferris Thompson Hospital | Nurse Anesthetist, Certified Registered | 360 Parrish St, Box 15, Canandaigua, NY 14424-1777 | 2007-03-05 |
1912941949 | Craig C Gallahan | Nurse Anesthetist, Certified Registered | 350 Parrish St, Canandaigua, NY 14424-1731 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639788581 | Chioma Ukachi Nwankwo | Nurse Anesthetist, Certified Registered | 835 Blooming Grove Tpke Apt 173, New Windsor, NY 12553-8163 | 2020-07-27 |
1528603230 | Catherina Luisa Stevens | Nurse Anesthetist, Certified Registered | 122 Day Spring Ct, Schenectady, NY 12306-3344 | 2019-11-18 |
1669021705 | Tahela Davidov | Nurse Anesthetist, Certified Registered | 27005 76th Ave # 11040, New Hyde Park, NY 11040-1402 | 2019-09-11 |
1588121792 | Aisha Powell | Nurse Anesthetist, Certified Registered | 2132 Wallace Ave Apt 246, Bronx, NY 10462-2504 | 2019-02-23 |
1144786765 | Michelle Giannetti | Nurse Anesthetist, Certified Registered | 1900 Empire Blvd # 221, Webster, NY 14580-1934 | 2019-02-19 |
1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
1639655475 | Julian Piazzola | Nurse Anesthetist, Certified Registered | 5843 59th St, Maspeth, NY 11378-3246 | 2018-07-16 |
1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
1164921326 | Edjona Groysman | Nurse Anesthetist, Certified Registered | 130 Stroud Ave, Staten Island, NY 10312-3244 | 2018-02-02 |
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City | CANANDAIGUA |
Zip Code | 14424 |
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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.