MALENE KAY INGRAM (NPI# 1013018829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013018829 |
| Entity Type | Individual |
| Full Name | MALENE KAY INGRAM |
| Credential | MD |
| Practice Address |
2125 River Rd Suite 302 Niskayuna NY 12309-1135 |
| Mailing Address |
600 Mcclellan St Schenectady NY 12304-1009 |
| Practice Telephone | 5182431313 |
| Practice Fax Number | 5188318007 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 241814 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP | 396885 | 01 |
| NY | BSNENY | 000412313001 | 01 |
| NY | FIDELIS CARE | 061214000250 | 01 |
| NY | AETNA | 7708835 | 01 |
| NY | BLUE CROSS | 5713U1 | 01 |
| CDPHP | 10115793 | 01 | |
| NY | UHC | 2697149 | 01 |
| Street Address |
2125 RIVER RD SUITE 302 |
| City | NISKAYUNA |
| State | NY |
| Zip Code | 12309-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861946246 | Jessica Fontanelli | Dietitian, Registered | 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 | 2016-08-15 |
| 1346668977 | Paula K Pecoraro | Registered Nurse | 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 | 2014-04-01 |
| 1508205907 | Erin P Adams | Physician Assistant | 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 | 2013-06-19 |
| 1548605470 | Amanda Jean Hardt | Registered Nurse | 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 | 2013-05-06 |
| 1922398916 | Jessica Walsh | Physician Assistant | 2125 River Rd, Suite 100, Niskayuna, NY 12309-1135 | 2011-04-12 |
| 1780611822 | Jerry L Gardner | Physician Assistant | 2125 River Rd, Suite 100, Niskayuna, NY 12309-1135 | 2006-06-26 |
| 1649218538 | Vishnudas Panemanglore Pai | Surgery | 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053471771 | Numeriano Go | Surgery | 2468 Brookshire Dr, Niskayuna, NY 12309-2822 | 2006-12-11 |
| 1811188659 | Prathima Kanumuri | Surgery | 2210 Troy Schenectady Rd, Niskayuna, NY 12309-4725 | 2007-08-07 |
| 1649218538 | Vishnudas Panemanglore Pai | Surgery | 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 | 2006-06-03 |
| 1487608527 | Danilo Cosico PC | Surgery | 2210 Troy Rd, Niskayuna, NY 12309-4725 | 2006-05-22 |
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| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
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| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
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| 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.