Lyda A Shambo (NPI# 1467575894, PAC ID# 3577657923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1467575894 |
| PAC ID by PECOS | 3577657923 |
| Professional Enrollment ID | I20090406000092 |
| Full Name | Lyda A Shambo |
| Organization Legal Name | JEFFERSON ANESTHESIOLOGIST SERVICES PC |
| Address |
830 Washington St Watertown NY 13601-4034 |
| Phone Number | 3157858509 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0840289260 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330157 | SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 830 Washington St, Watertown, NY 13601-4034 | 3157858509 | JEFFERSON ANESTHESIOLOGIST SERVICES PC |
| Organization Legal Name | JEFFERSON ANESTHESIOLOGIST SERVICES PC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diemthuy Nguyen | Anesthesiology | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| William Niewieroski Jr. | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Irvin Sanchez | Anesthesiology | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Mitchell L Rachman | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Marcia L Buzyniski | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Kari Ann Berg | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Terry L Predmore | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Foluso Bajowa | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Michael Stabinski | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Brian Brown | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Street Address |
830 WASHINGTON ST |
| City | WATERTOWN |
| State | NY |
| Zip | 13601-4034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Y Intorcia | Registered Dietitian Or Nutrition Professional | Samaritan Medical Center | 830 Washington St, Watertown, NY 13601-4034 |
| Aaron E Robertshaw | Physician Assistant | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Diemthuy Nguyen | Anesthesiology | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Karl R Elsner | Nurse Practitioner | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Phillip A Chafe | Emergency Medicine | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| William Niewieroski Jr. | Certified Registered Nurse Anesthetist (crna) | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Brian D Roggie | Emergency Medicine | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Maja L Lundborg Gray | Emergency Medicine | North Country Emergency Medical Consultants, PC | 830 Washington St, Watertown, NY 13601-4034 |
| Irvin Sanchez | Anesthesiology | Jefferson Anesthesiologist Services PC | 830 Washington St, Watertown, NY 13601-4034 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Zachary Nahmias | Dermatology | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Makenzie Rae Griffin | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Bonnie L Servage | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Erica Feola | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maryellen I Blevins | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Anne Hall | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Find all physicians in zip 13601 | |||
| City | WATERTOWN |
| Zip Code | 13601 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WATERTOWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Lyda A Shambo.
| 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.