DAVID A. EDMONSON, M.D., PC (NPI# 1225217763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225217763 |
| Entity Type | Organization |
| Organization Name | DAVID A. EDMONSON, M.D., PC |
| Practice Address |
319 S Manning Blvd Suite 210 Albany NY 12208-1742 |
| Mailing Address |
Po Box 194 Albany NY 12201-0194 |
| Practice Telephone | 5186416936 |
| Practice Fax Number | 5186416939 |
| Mailing Telephone | 5186416936 |
| Mailing Fax Number | 5186416939 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-02 |
| Authorized Official Name | DR. DAVID A EDMONSON (MD/OWNER) |
| Authorized Official Telephone | 5186416936 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
236674-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | INDIVIDUAL NPI # | 1750440699 | 01 |
| NY | 02733833 | 05 |
| Street Address |
319 S MANNING BLVD SUITE 210 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877422 | Thomas E Canavan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 319 S Manning Blvd, Suite 110, Albany, NY 12208-1742 | 2005-08-02 |
| 1639702772 | Mark Thomas Grunert | Physician Assistant | 319 S Manning Blvd, Albany, NY 12208-1742 | 2020-02-18 |
| 1023479474 | Kimberley Lamora | Dietitian, Registered | 319 S Manning Blvd, Albany, NY 12208-1742 | 2016-03-14 |
| 1063885788 | St. Peter's Hospital | Internal Medicine | 319 S Manning Blvd, Suite 110b, Albany, NY 12208-1742 | 2015-11-03 |
| 1245628361 | St. Peters Health Partners Medical Associates PC | Surgery | 319 S Manning Blvd, Suite 304, Albany, NY 12208-1742 | 2014-12-23 |
| 1730595539 | Maureen Patricia Mccoll | Pharmacist | 319 S Manning Blvd, Department of Pharmacy, Albany, NY 12208-1742 | 2014-07-01 |
| 1104164474 | Joseph M Bied M D LLC | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 306, Albany, NY 12208-1773 | 2013-01-22 |
| 1689911869 | Jenna K Horton | Nurse Practitioner | 319 S Manning Blvd, Albany, NY 12208-1742 | 2013-01-09 |
| 1891047247 | Michael Perrotti Md PC | Urology | 319 S Manning Blvd, Suite 308a, Albany, NY 12208-1742 | 2012-10-10 |
| 1285999649 | Elizabeth M Wyman | Dietitian, Registered | 319 S Manning Blvd, Suite 307, Albany, NY 12208 | 2012-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 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 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811056724 | Muhammad A Hena | Surgery | 4 Atrium Drive, Suite 230, Albany, NY 12205 | 2006-12-06 |
| 1881997104 | St. Peter's Hospital | Surgery | 317 S Manning Blvd, Suite 250, Albany, NY 12208-1739 | 2010-12-08 |
| 1316193626 | Phoebe Cancer Center Surgical Oncology | Surgery | 409 W 4th Ave, Albany, GA 31701-1915 | 2008-08-18 |
| 1992979678 | Lindy L Davis | Surgery | 43 New Scotland Ave, Albany, NY 12208-3412 | 2008-04-14 |
| 1780713693 | Muhammad A Hena PC | Surgery | 4 Atrium Dr, Suite 230, Albany, NY 12205-1441 | 2007-03-05 |
| 1689713067 | Women's Cancer Care Associates, LLC | Surgery | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2007-02-05 |
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|---|---|---|---|---|
| 1992334379 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Fl 3, Carmel, NY 10512-3997 | 2020-04-07 |
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1336620004 | Jianhong Winson Tan | Surgery | 1233 York Ave Apt 20n, New York, NY 10065-6342 | 2018-08-22 |
| 1306348610 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Ste C126, Carmel, NY 10512-3997 | 2018-03-02 |
| 1316286404 | Harold O Douglass Jr. | Surgery | 72 Andover Ln, Williamsville, NY 14221-3309 | 2013-02-08 |
| 1811246382 | Iain James Nixon | Surgery | 1378 York Ave, Apt 1c, New York, NY 10021-3415 | 2012-08-30 |
| 1578819595 | Dong Kyu Kim | Surgery | 118 Foxwood Dr, Jericho, NY 11753-1116 | 2012-07-27 |
| 1881965903 | William Mahoney | Surgery | 15 Eileen's Path, Box 2738, East Hampton, NY 11937 | 2012-01-20 |
| 1649551953 | Manuela J Junqueira | Surgery | 303 E 60th St Apt 24f, New York, NY 10022-1523 | 2011-08-31 |
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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.