DR. DANIEL THOR LAVELLE (NPI# 1114219201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114219201 |
| Entity Type | Individual |
| Full Name | DR. DANIEL THOR LAVELLE |
| Credential | M.D.,PH.D. |
| Practice Address |
724 Watervliet Shaker Rd Latham NY 12110-3528 |
| Practice Telephone | 5182627500 |
| Mailing Telephone | 5182627500 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 280538 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 280538 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982101010 | Daniel Lavelle | Counselor | 1224 Columbia Ave, Franklin, TN 37064-3619 | 2018-04-05 |
| 1710503362 | Daniel Lavelle | Counselor | 520 N Washington St Ste 100, Falls Church, VA 22046-3538 | 2020-06-19 |
| Street Address |
724 WATERVLIET SHAKER RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172628 | Hamish Alistair Kerr | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2005-08-25 |
| 1417399536 | Sujata R Kane | Physician Assistant | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2013-07-18 |
| 1871837088 | Albany Medical College | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2012-11-15 |
| 1215973896 | Ivelisse Ann Verrico | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2006-06-21 |
| 1891782207 | Joseph Thomas Wayne | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2005-09-30 |
| 1194712737 | Kathleen Zabinski-kramer | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2005-09-29 |
| 1649266941 | Paul Clay Sorum | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2005-09-22 |
| 1407841661 | Tricia Ann Pelnik-fecko | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2005-09-14 |
| 1811980485 | Jennifer Ellen Lindstrom | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063704211 | Patricia V. Saunders Md, Pllc | Internal Medicine | 506 Watervliet Shaker Rd, Latham, NY 12110-4635 | 2011-05-06 |
| 1386711612 | Jose F Nebres | Internal Medicine | 15 Fox Run, Latham, NY 12110 | 2006-11-30 |
| 1073693032 | Nita Parikh | Internal Medicine | Crhp-711 Troy-schenectady Rd, Suite 104, Latham, NY 12110 | 2006-10-16 |
| 1831203991 | Warren Silverman | Internal Medicine | 776a Watervliet Shaker Rd, Latham, NY 12110-2209 | 2006-08-18 |
| 1205818911 | Dastagir Alam Khan | Internal Medicine | 27 Dyke Rd, Latham, NY 12110-1237 | 2005-11-17 |
| 1730172628 | Hamish Alistair Kerr | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2005-08-25 |
| 1467444554 | Kimberly A Peregrim | Internal Medicine | 711 Troy Schenectady Rd Ste 104, Latham, NY 12110-2454 | 2005-08-16 |
| 1336146364 | William J Feeney | Internal Medicine | 582 New Loudon Rd, Latham, NY 12110-4029 | 2005-07-05 |
| 1871837088 | Albany Medical College | Internal Medicine | 724 Watervliet Shaker Rd, Latham, NY 12110-3528 | 2012-11-15 |
| 1760743777 | Disha Chhabra Spath | Internal Medicine | 711 Troy Schenectady Rd Ste 104, Latham, NY 12110-2454 | 2012-06-06 |
| Find all providers in LATHAM | ||||
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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.