Debra L Iselo (NPI# 1437439353, PAC ID# 0042483463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437439353 |
| PAC ID by PECOS | 0042483463 |
| Professional Enrollment ID | I20111101000025 |
| Full Name | Debra L Iselo |
| Organization Legal Name | SLOCUM DICKSON MEDICAL GROUP PLLC |
| Address |
55 Central Plz Ilion NY 13357-1701 |
| Phone Number | 3158940071 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799778510 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 55 Central Plz, Ilion, NY 13357-1701 | 3158940071 | SLOCUM DICKSON MEDICAL GROUP PLLC |
| 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 3157981500 | SLOCUM DICKSON MEDICAL GROUP PLLC |
| Organization Legal Name | SLOCUM DICKSON MEDICAL GROUP PLLC |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dayal D Raja | Endocrinology | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Ivan Antonevich | Pain Management | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Michael J Mcnulty | Pain Management | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Suzanne W Buschor | Physical Therapy | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Radaranys Brea | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Pony Nancy Sokiri | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Celesta M Hunsiker | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| David Nicholas Campola Jr. | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Adnan Cemer | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Stephanie Marie Calenzo | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Street Address |
55 CENTRAL PLZ |
| City | ILION |
| State | NY |
| Zip | 13357-1701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan Antonevich | Pain Management | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Erin Margaret Krupski | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Christopher P Powers | Podiatry | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Linda Jones | Nurse Practitioner | Rochester Primary Care Network Inc | 55 Central Plz, Suite B, Ilion, NY 13357-1753 |
| Christopher M Alinea | Internal Medicine | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Kristin A Burns | Nurse Practitioner | Rochester Primary Care Network Inc | 55 Central Plz, Suite B, Ilion, NY 13357-1753 |
| Debora Ann Pfluke | Nurse Practitioner | Rochester Primary Care Network Inc | 55 Central Plz, Suite B, Ilion, NY 13357-1753 |
| Aileen G Callan | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Sarah Dunham | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randi Schrader | Nurse Practitioner | New York General Medical Services PC | 99 Th 6th Ave, Ilion, NY 13357-1527 |
| Brittie A Wintle | Nurse Practitioner | New York General Medical Services PC | 99 Th 6th Ave, Ilion, NY 13357-1527 |
| John M Mckennan | Diagnostic Radiology | 284 W Main St, Ilion, NY 13357-1531 | |
| Renee M English | Qualified Speech Language Pathologist | Speech Language Therapy of Central New York LLC | 12 Central Plz, Suite 1, Ilion, NY 13357-1701 |
| Dawn E Evans | Physical Therapy | Seco Physical and Occupational Therapy Pllc | 33 Central Plz, Ilion, NY 13357-1701 |
| Timothy R Woolner | Optometry | 23 Central Plaza, Ilion, NY 13357-1701 | |
| Catrina M Mckissick | Physical Therapy | Seco Physical and Occupational Therapy Pllc | 33 Central Plz, Ilion, NY 13357-1701 |
| Nicole J Nicolette Walz | Qualified Speech Language Pathologist | Speech Language Therapy of Central New York LLC | 12 Central Plz, Suite 1, Ilion, NY 13357-1701 |
| Amy S Manning | Physical Therapy | Seco Physical and Occupational Therapy Pllc | 33 Central Plz, Ilion, NY 13357-1701 |
| Terre L Dunning | Physical Therapy | Seco Physical and Occupational Therapy Pllc | 33 Central Plz, Ilion, NY 13357-1701 |
| Find all physicians in zip 13357 | |||
| City | ILION |
| Zip Code | 13357 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ILION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Debra L Iselo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.