CENTRAL ALBANY OB-GYN, P.C. (NPI# 1235489485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235489485 |
| Entity Type | Organization |
| Organization Name | CENTRAL ALBANY OB-GYN, P.C. |
| Practice Address |
421 W 4th Ave Albany GA 31701-1973 |
| Practice Telephone | 2294350002 |
| Practice Fax Number | 2298831782 |
| Mailing Telephone | 2294350002 |
| Mailing Fax Number | 2298831782 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | MOON Y CHUNG (SHAREHOLDER PHYSICIAN) |
| Authorized Official Telephone | 2294350002 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 058965 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
421 W 4TH AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548246465 | Moon Yun Chung | Obstetrics & Gynecology | 421 W 4th Ave, Albany, GA 31701-1973 | 2005-12-22 |
| 1831227677 | Summit Women's Care of Albany PC | Obstetrics & Gynecology | 421 W 4th Ave, Albany, GA 31701-1973 | 2007-03-02 |
| 1215968029 | Yung Chun Tsai | Obstetrics & Gynecology | 421 W 4th Ave, Albany, GA 31701-1973 | 2006-07-06 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205247921 | Katherine Beditz Cartwright | Obstetrics & Gynecology | 319 S Manning Blvd Ste 201, Albany, NY 12208-1743 | 2014-05-15 |
| 1073893459 | Anna Natenzon Frega | Obstetrics & Gynecology | 391 Myrtle Ave. 2nd Floor, Albany, NY 12208 | 2011-08-17 |
| 1821230525 | Willie Adams Jr Md Obgyn LLC | Obstetrics & Gynecology | 507 W 3rd Ave Ste 3, Albany, GA 31701-1944 | 2009-03-27 |
| 1851551923 | Francis Kwarteng | Obstetrics & Gynecology | 401 S. Madison Street, Albany, GA 31701 | 2008-06-12 |
| 1639338320 | Phoebe Women's Services | Obstetrics & Gynecology | 901 N Madison St, Albany, GA 31701-2210 | 2008-06-06 |
| 1811099757 | Drs Adams & Woods Md, LLC | Obstetrics & Gynecology | 320 W 2nd Ave, Albany, GA 31701-2370 | 2006-09-01 |
| 1760494322 | Lindsay Raynard Cruel | Obstetrics & Gynecology | 317 W 1st Ave, Albany, GA 31701-2303 | 2006-08-12 |
| 1740216498 | Firstcare Medical Foundation | Obstetrics & Gynecology | 1700 Geary Street Se, Albany, OR 97322-6842 | 2006-06-24 |
| 1548246465 | Moon Yun Chung | Obstetrics & Gynecology | 421 W 4th Ave, Albany, GA 31701-1973 | 2005-12-22 |
| 1396738886 | Ronald Allan Cucina | Obstetrics & Gynecology | 1001 N Monroe St, Albany, GA 31701-1903 | 2005-08-30 |
| 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.