Beverly G Ischia (NPI# 1689767204, PAC ID# 1355382532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689767204 |
| PAC ID by PECOS | 1355382532 |
| Professional Enrollment ID | I20050518000402 |
| Full Name | Beverly G Ischia |
| Organization Legal Name | UPSTATE CEREBRAL PALSY INC |
| Address |
1427 Genesee St Utica NY 13501-4343 |
| Phone Number | 3157381428 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1978 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496734758 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1427 Genesee St, Utica, NY 13501-4343 | 3157381428 | UPSTATE CEREBRAL PALSY INC |
| 1601 Armory Dr, Utica, NY 13501-5405 | 3157988808 | UPSTATE CEREBRAL PALSY INC |
| Organization Legal Name | UPSTATE CEREBRAL PALSY INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole D Kekis | Physical Therapy | Upstate Cerebral Palsy Inc | 9440 Butler Rd, Sauquoit, NY 13456-2010 |
| Harold L Anderson | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Joshua Burgess | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1427 Genesee St, Utica, NY 13501-4343 |
| Vidya A Patil | Psychiatry | Upstate Cerebral Palsy Inc | 1601 Armory Dr, Utica, NY 13501-5405 |
| Sandra L Kaelin | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1601 Armory Dr, Utica, NY 13501-5405 |
| Melanie E. Zaniewski | Occupational Therapy | Upstate Cerebral Palsy Inc | 10708 N Gage Rd, Barneveld, NY 13304-2527 |
| Surendra K Johri | Psychiatry | Upstate Cerebral Palsy Inc | 1601 Armory Dr, Utica, NY 13501-5405 |
| Dean C Anthony | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1601 Armory Dr, Utica, NY 13501-5405 |
| Walter E Misiaszek | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1601 Armory Dr, Utica, NY 13501-5405 |
| Street Address |
1427 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip | 13501-4343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane M Clark | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1427 Genesee St, Utica, NY 13501-4343 |
| Jessica A Trifiletti | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1427 Genesee St, Utica, NY 13501-4343 |
| Charles Pope | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1427 Genesee St, Utica, NY 13501-4343 |
| Morales D Brown | Psychiatry | Upstate Cerebral Palsy Inc | 1427 Genesee St, Utica, NY 13501-4343 |
| Lori M Cunningham | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1427 Genesee St, Utica, NY 13501-4343 |
| Joshua Burgess | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1427 Genesee St, Utica, NY 13501-4343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elif N Erim | Geriatric Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
| Kevin Mccormick | Family Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
| Florin G Olteanu | Internal Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
| Karen Dziok | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Patricia A Roach | Nurse Practitioner | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Gordan B Dunham | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Lora A Abraham | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Jayaraju P Raju | Psychiatry | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Annette L Edwards | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Wallis E Patulski | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Find all physicians in zip 13501 | |||
| City | UTICA |
| Zip Code | 13501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | UTICA + NURSE PRACTITIONER |
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| 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.