CARLOS OBLENA DATOR JR. (NPI# 1114287158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114287158 |
| Entity Type | Individual |
| Full Name | CARLOS OBLENA DATOR JR. |
| Credential | MD |
| Practice Address |
110 W 6th St Oswego NY 13126-2507 |
| Practice Telephone | 3153495511 |
| Mailing Telephone | 3153495511 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 281672 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 177 W 4th St, Oswego, NY 131263009 | 3153432151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447271259 | Carlos Oblena Dator | Internal Medicine | 90 W Utica St, Oswego, NY 13126-3048 | 2006-07-21 |
| Street Address |
110 W 6TH ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080334 | Ahmad Al-salameh | Pathology | 110 W 6th St, Oswego, NY 13126-2507 | 2005-08-19 |
| 1881205847 | Cynthia Lorraine Althouse | Nurse Practitioner | 110 W 6th St, Oswego, NY 13126-2507 | 2020-08-13 |
| 1629696224 | Ruth Noemi Vasquez | Nurse Practitioner | 110 W 6th St, Oswego, NY 13126-2507 | 2020-07-09 |
| 1750906608 | Gretchen Schlieder | Nurse Practitioner | 110 W 6th St, Oswego, NY 13126-2507 | 2020-06-16 |
| 1215552567 | Gretchen Ann Garland | Nurse Practitioner | 110 W 6th St, Oswego, NY 13126-2507 | 2020-06-12 |
| 1619508967 | Arthur Ezzo | Physical Therapy Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2020-01-27 |
| 1396381000 | Misty Putnam | Physician Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2019-11-18 |
| 1144880964 | Nathaniel Michael Farden | Nurse Practitioner | 110 W 6th St, Oswego, NY 13126-2507 | 2019-06-14 |
| 1497245922 | Rockaway Emergency Medicine Services PC | Physician Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2018-05-10 |
| 1134631740 | Rebecca Grethel | Hospitalist | 110 W 6th St, Oswego, NY 13126-2507 | 2017-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558798561 | Alan Marshal Haan | Family Medicine | 150 N Madison St, Oswego, IL 60543-9470 | 2013-10-04 |
| 1598056202 | Alexander William Filipski | Family Medicine | 10 George St Ste 200, Oswego, NY 13126-3276 | 2011-04-28 |
| 1679745764 | Dhanraj J. Soogree M.d. P.C. | Family Medicine | 144 W 4th St, Oswego, NY 13126-2504 | 2008-03-28 |
| 1437333051 | Oswego Family Physicians Ltd | Family Medicine | 2685 Us Highway 34, Oswego, IL 60543-8577 | 2007-12-18 |
| 1114134699 | Helen Jeong | Family Medicine | 6701 Route 34, Oswego, IL 60543-9129 | 2007-05-16 |
| 1205976016 | Gordon Kern | Family Medicine | 1104 Oregon Dr, Oswego, KS 67356-1826 | 2007-02-08 |
| 1700969813 | Lynn E. Miller | Family Medicine | 1 Rudolph Road, Suny Oswego, Building 10, Mary Walker Health Center, Oswego, NY 13126 | 2006-10-23 |
| 1992714885 | Mark J. Yarshen | Family Medicine | 6701 Us Highway 34, Oswego, IL 60543-9129 | 2006-08-07 |
| 1548281538 | Gerald T Simmons | Family Medicine | 11 4th Ave, Suite F, Oswego, NY 13126-1852 | 2006-07-22 |
| 1174560692 | Phillip E. Bortmes | Family Medicine | 608 Commercial St, Oswego, KS 67356-2312 | 2006-06-01 |
| Find all providers in OSWEGO | ||||
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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.