Kristen Marie Siracuse (NPI# 1902213168, PAC ID# 5294055786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902213168 |
| PAC ID by PECOS | 5294055786 |
| Professional Enrollment ID | I20150526000033 |
| Full Name | Kristen Marie Siracuse |
| Organization Legal Name | GREAT LAKES PHYSICIAN PC |
| Address |
504 Central Ave Dunkirk NY 14048-2515 |
| Phone Number | 7163389200 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133434269 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330229 | BROOKS MEMORIAL HOSPITAL |
| 330239 | UPMC CHAUTAUQUA WCA |
| 330166 | WESTFIELD MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 504 Central Ave, Dunkirk, NY 14048-2515 | 7163389200 | GREAT LAKES PHYSICIAN PC |
| 117 Foote Ave, Suite 100, Jamestown, NY 14701-6947 | 7163389200 | GREAT LAKES PHYSICIAN PC |
| Organization Legal Name | GREAT LAKES PHYSICIAN PC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Domagala | Physician Assistant | Great Lakes Physician PC | 500 Sterling Dr, Orchard Park, NY 14127-1573 |
| Michael Duff | Radiation Oncology | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Surjeet S Pohar | Radiation Oncology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Anthony R Ricottone | Urology | Great Lakes Physician PC | 500 Sterling Dr, Orchard Park, NY 14127-1573 |
| Kirsten Bishop | Physician Assistant | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Kevin J Barlog | Urology | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Karen A Pane | Nurse Practitioner | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Abeer Eddib | Obstetrics/gynecology | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Brian D Rambarran | Urology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Katrina Michelle Vankouwenberg | Physician Assistant | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Street Address |
504 CENTRAL AVE |
| City | DUNKIRK |
| State | NY |
| Zip | 14048-2515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Guilding Pita | Internal Medicine | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Gaurav Ahluwalia | Internal Medicine | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Steven E Barnes | Internal Medicine | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Benjamin Boe Luong | Urology | Great Lakes Physician PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Beth R Wlodarek | Physician Assistant | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Mary E Rudloff | Physician Assistant | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Jill Anderson Muntz | Nurse Practitioner | Great Lakes Physician PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Jennifer M Hewson | Nurse Practitioner | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Lisa A Walter | Nurse Practitioner | Great Lakes Physician PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Hyder Alam | Gastroenterology | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen P Smith | Occupational Therapy | Chautauqua County Chapter of Nysarc Inc | 186 Lakeshore Dr W, Dunkirk, NY 14048-1437 |
| David S Friedman | Psychologist, Clinical | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Absolut Care of Dunkirk Nurs, Dunkirk, NY 14048-1479 |
| Stephen Dixon Ross | Psychologist, Clinical | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Absolut Care of Dunkirk Nurs, Dunkirk, NY 14048-1479 |
| Ke Fang | Psychologist, Clinical | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Absolut Care of Dunkirk Nurs, Dunkirk, NY 14048-1479 |
| Melissa N Olivett | Psychologist, Clinical | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Absolut Care of Dunkirk Nurs, Dunkirk, NY 14048-1479 |
| Theresa Mignone-klostermann | Clinical Psychologist | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Absolut Care of Dunkirk Nurs, Dunkirk, NY 14048-1479 |
| Laura J Buchholz | Clinical Psychologist | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Absolut Care of Dunkirk Nurs, Dunkirk, NY 14048-1479 |
| Maureen L Hopkins | Clinical Social Worker | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Absolut Care of Dunkirk Nurs, Dunkirk, NY 14048-1479 |
| Susan Maher | Clinical Psychologist | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Dunkirk, NY 14048-1479 |
| Agnes R Jonas | Clinical Psychologist | Che Senior Psychological Services, PC | 447 -449 Lake Shore Dr W, Dunkirk, NY 14048-1479 |
| Find all physicians in zip 14048 | |||
| City | DUNKIRK |
| Zip Code | 14048 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DUNKIRK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristen Marie Siracuse.
| 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.