Claudia F Krider, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001055 Issued in NY

Practice address

3045 East Avenue
Central Square, NY 13036

Phone

(315) 676-2935

Fax

(315) 668-3873

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Claudia Lyndaker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesee Valley Group Health Association

  • Clinic Pharmacy
  • Rochester, NY
  • NPI 1962591875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1851492045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "address_2": "ATTN CREDENTIALING",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212604",
            "telephone_number": "585-336-4858",
            "fax_number": "585-336-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 EAST AVENUE",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "13036",
            "telephone_number": "315-676-2935",
            "fax_number": "315-668-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIDER",
        "first_name": "CLAUDIA",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "LYNDAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamara Lynn Keys, LPN
• Patricia M Koch, B.S.
• Denise M Kosecki, LPN
• Lawrence Koss, MD
• Anthony Peter Kossa, D.D.S.
• Arun R Kunwar, MD
• Kuss Physical Therapy PLLC
• John Kenneth Kuss, PT, DPT, MTC
• Susan Lacey, RN
• Danielle Marie Lamay, LPN

• Physician Assistant in Central Square, NY
• Providers in Central Square, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.