PHOEBE PUTNEY MEMORIAL HOSPITAL (NPI# 1134242308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134242308 |
Entity Type | Organization |
Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL |
Other Organization Name | CARDIOVASCULAR SURGICAL ASSOCIATES |
Practice Address |
425 W 3rd Ave Ste 510 Albany GA 31701-1959 |
Mailing Address |
Po Box 2548 Albany GA 31702-2548 |
Practice Telephone | 2293127510 |
Practice Fax Number | 2293127505 |
Mailing Telephone | 2293125870 |
Mailing Fax Number | 2293125853 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | FRANK F MIDDLETON III (DIRECTOR OF PHYSICIAN SERVICES) |
Authorized Official Telephone | 2293124055 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
CARDIOVASCULAR SURGICAL ASSOCIATES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316060585 | Phoebe Putney Memorial Hospital | Family Medicine | 2410 Sylvester Rd, Albany, GA 31705-2479 | 2007-04-10 |
1225151491 | Phoebe Putney Memorial Hospital | Internal Medicine | 425 W 3rd Ave Ste 340, Albany, GA 31701-1968 | 2007-04-10 |
1407979677 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1600, Albany, GA 31707-2442 | 2007-04-10 |
1972625481 | Phoebe Putney Memorial Hospital | Surgery | 409 W 4th Ave, Albany, GA 31701-1915 | 2007-04-04 |
1669594222 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2442 | 2007-04-04 |
1225072846 | Phoebe Putney Memorial Hospital | Internal Medicine | 507 W 3rd Ave, Ste 100, Albany, GA 31701-1958 | 2006-06-15 |
1891315420 | Phoebe Putney Memorial Hospital | Pharmacy | 427 W 3rd Ave, Albany, GA 31701-1975 | 2020-04-23 |
1609268176 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2015-02-20 |
1487089132 | Phoebe Putney Memorial Hospital | General Acute Care Hospital | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-09-12 |
1295907475 | Phoebe Putney Memorial Hospital | Durable Medical Equipment & Medical Supplies | 414 5th Ave, Albany, GA 31701-1918 | 2008-03-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. | 417 W 3rd Ave, Albany, GA 31706-1943 |
Street Address |
425 W 3RD AVE STE 510 |
City | ALBANY |
State | GA |
Zip Code | 31701-1959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821606492 | Matthew B Barksdale | Nurse Practitioner | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2020-07-20 |
1558873307 | Charles R Cole | Nurse Practitioner | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2017-11-02 |
1770713943 | Giovanni Piovesana | Surgery | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2009-07-21 |
1750547600 | Paul F Hendley Jr. | Radiologic Technologist | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2008-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
Find all providers in zip 31701 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1295211365 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 110b, Albany, NY 12208-1744 | 2018-07-12 |
1205007333 | Albany Vascular Specialist Center | Surgery | 2300 Dawson Rd, Suite 101, Albany, GA 31707-2803 | 2008-03-17 |
1073716049 | Adriana Laser | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2007-06-07 |
1356342281 | Francis N Herrbold | Surgery | 425 W 3rd Ave, Albany, GA 31701-1941 | 2005-08-02 |
1891277000 | Albany Medical College | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2018-09-04 |
1265852008 | Yoni Samocha | Surgery | 47 New Scotland Ave, Department of Surgery, Albany, NY 12208-3412 | 2014-04-20 |
1891023222 | Vascular Health and Wellness, LLC | Surgery | 2300 Dawson Rd, Suite 100, Albany, GA 31707-2803 | 2009-11-23 |
1588821482 | Xzabia Annette Caliste | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2008-05-19 |
1427230150 | Joe Harris Morgan IIi | Surgery | 2002 Palmyra Rd, Suite 202, Albany, GA 31701-1591 | 2007-12-05 |
1477648483 | Paul R. Dittes, M.d., PC | Surgery | 4 Executive Park Dr, Albany, NY 12203-3718 | 2006-10-04 |
Find all providers in ALBANY |
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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.