DOMINIQUE S FERTAL


Address: 350 Parrish St, Canandaigua, NY 14424-1731
Phone: 5859192668

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 350 PARRISH ST
City CANANDAIGUA
State NY
Zip Code 14424-1731

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CANANDAIGUA
Zip Code 14424

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Dataset Information

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.

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