Jessie Marie Shoemaker
Physician Assistant

Address: 1375 Washington Ave, Suite 101, Albany, NY 12206-1040
Phone: 5184384483

Jessie Marie Shoemaker (NPI# 1821438052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1821438052
Entity Type Individual
Full Name Jessie Marie Shoemaker
Credential P.A.-C
Gender Female
Practice Address 1375 Washington Ave
Suite 101
Albany
NY 12206-1040
Practice Telephone 5184384483
Practice Fax Number 5184824201
Mailing Address 1375 Washington Ave
Suite 101
Albany
NY 12206-1040
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-07-02
Last Update Date 2014-10-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 016601-1 NY

Physician Overview

NPI 1821438052
PAC ID by PECOS 2062655004
Professional Enrollment ID I20130823000711
Full Name Jessie M Shoemaker
Organization Legal Name ALBANY-CAPITAL REGION GASTROENTEROLOGY CONSULTANTS CO PLLC
Phone Number 5184384483
Gender F
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4789843228
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330057 ST PETER'S HOSPITAL

Office Location

Street Address 1375 WASHINGTON AVE
SUITE 101
City ALBANY
State NY
Zip Code 12206-1040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326042607 Kim Sheldon Physician Assistant 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2005-06-02
1104277748 Molly Austin Physician Assistant 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2016-06-24
1467837484 Karen Patnode Nurse Practitioner 1375 Washington Ave, Suite 101, Albany, NY 12206-1070 2015-07-21
1346674686 Marilyn E Vanamburgh Nurse Practitioner 1375 Washington Ave, Suite 101, Albany, NY 12206-1070 2013-08-22
1255693982 Michael B Whalen, Md Ophthalmology 1375 Washington Ave, Suite 227, Albany, NY 12206-1070 2012-06-08
1184931677 Peter J. Duffy, Md Ophthalmology 1375 Washington Ave, Suite 227, Albany, NY 12206-1070 2010-09-07
1982917191 Michelle K Kuchis Nurse Practitioner 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2010-07-16
1255575262 Matthew Gregory Warndorf Internal Medicine 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2009-04-22
1447498076 Sajid Hussain Internal Medicine 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2009-02-04
1356509574 Robert Joseph Gianotti IIi Internal Medicine 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 2008-05-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942713144 Jaclyn Nanna Physical Therapist 1367 Washington Ave Ste 100, Albany, NY 12206 2017-11-09
1144749854 Madena Lynn Henderson Licensed Practical Nurse 51 Garfield Pl, Albany, NY 12206 2017-09-13
1912456534 Adeel A Janjua I Contractor 17 Roosevelt St, Albany, NY 12206 2016-09-23
1376901595 Jacqueline Aimee Dall Nurse Practitioner 855 Central Avenue, Albany, NY 12206 2016-02-02
1376932558 Hope House, Inc. Substance Abuse Rehabilitation Facility 577 Livingston Ave., Albany, NY 12206 2015-01-12
1679993828 Lori S. Matulewicz Nurse Practitioner 500 Central Ave., Equinox, Inc., Albany, NY 12206 2014-04-25
1437417995 Ernest Nicola Chisena Orthopaedic Surgery 1367 Washington Avenue Suite 200, Albany, NY 12206 2012-05-02
1629368519 Joseph M Rozell Radiology 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 2011-04-12
1346542404 Melissa June Kowlessar Licensed Practical Nurse 69 Benson Street, Albany, NY 12206 2010-11-23
1316109796 Edmund John Mcgrath Podiatrist 911 Central Avenue #24, Albany, NY 12206 2008-06-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588136279 Christine Ciavarella Physician Assistant 405 Kains Ave Ste 205, Albany, CA 94706-1270 2018-12-19
1225503535 Maura Kathleen Corbett Physician Assistant 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 2018-10-12
1669966743 Kimberly Aebli Physician Assistant 47 New Scotland Ave Mc 101, Albany, NY 12208 2018-06-21
1255844643 Erica Francesca Lari Parks Physician Assistant 530 Kinkead Way Apt 205, Albany, CA 94706-2656 2017-11-08
1689184830 St. Peter's Hospital of The City of Albany Physician Assistant 315 S Manning Blvd 3 Cusack, Albany, NY 12208-1707 2017-10-02
1306376934 Elisabeth Catherine Henderson Physician Assistant 98 Wolf Rd Ste 16, Albany, NY 12205-1226 2017-06-15
1306395975 Kellie Mitchell Physician Assistant 705 Elm St Sw Ste 300, Albany, OR 97321 2016-09-23
1417306374 Larry James Edwards Physician Assistant 2030 Newton Rd, Albany, GA 31701-3520 2016-06-10
1477923019 Cheyenne Allen Boone Physician Assistant 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 2015-09-25
1396148300 Tina Huang Physician Assistant 15 Norman Ave, Albany, NY 12203-5005 2014-10-03
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Competitor

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City ALBANY
Zip Code 12206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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