Heather Emanuel (NPI# 1245279322, PAC ID# 5799824140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1245279322 |
PAC ID by PECOS | 5799824140 |
Professional Enrollment ID | I20091125000157 |
Full Name | Heather Emanuel |
Organization Legal Name | SAMARITAN MEDICAL CENTER |
Address |
3 Demott St Lacona NY 13083-8302 |
Phone Number | 3153873400 |
Gender | F |
Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1995 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 8123914876 |
Number of Group Practice Members | 102 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330157 | SAMARITAN MEDICAL CENTER |
330218 | OSWEGO HOSPITAL |
Address | Phone | Organization |
---|---|---|
3 Demott St, Lacona, NY 13083-8302 | 3153873400 | SAMARITAN MEDICAL CENTER |
1575 Washington St, Watertown, NY 13601-0000 | SAMARITAN MEDICAL CENTER | |
165 Coleman Ave, Watertown, NY 13601-2217 | 3157552024 | SAMARITAN MEDICAL CENTER |
830 Washington St, Watertown, NY 13601-0000 | 3157854000 | SAMARITAN MEDICAL CENTER |
Organization Legal Name | SAMARITAN MEDICAL CENTER |
Physicians | 86 |
Name | Specialty | Organization | Address |
---|---|---|---|
John James Burnett | Family Medicine | Samaritan Medical Center | 26908 Independence Way, 100 Leray Cmns, Evans Mills, NY 13637-0000 |
Ernesto N Levy | Rheumatology | Samaritan Medical Center | 629 Washington St, Rheumatology, Watertown, NY 13601-4836 |
Teresa Y Intorcia | Registered Dietitian Or Nutrition Professional | Samaritan Medical Center | 830 Washington St, Watertown, NY 13601-4034 |
Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
Sharen Yaworski | Nurse Practitioner | Samaritan Medical Center | 165 Coleman Ave, Watertown, NY 13601-2217 |
Aaron Dale Huizenga | Family Medicine | Samaritan Medical Center | 909 Strawberry Ln, Clayton, NY 13624-1409 |
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 |
Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
Street Address |
3 DEMOTT ST |
City | LACONA |
State | NY |
Zip | 13083-8302 |
City | LACONA |
Zip Code | 13083 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | LACONA + PHYSICIAN ASSISTANT |
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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.