ALICIA G. LYDECKER (NPI# 1255692554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255692554 |
| Entity Type | Individual |
| Full Name | ALICIA G. LYDECKER |
| Credential | M.D. |
| Practice Address |
43 New Scotland Ave # Mc-139 Albany NY 12208-3412 |
| Practice Telephone | 5182623131 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 288581 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 261747 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110102873A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Lake Ave N, Department of Emergency Medicine, Worcester, MA 016550002 | 5084211400 | 5084211490 |
| Street Address |
43 NEW SCOTLAND AVE # MC-139 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932552262 | Katherine E Hughes | Physician Assistant | 43 New Scotland Ave # Mc-139, Albany, NY 12208-3412 | 2016-07-21 |
| 1417306093 | Alexander Bracey | Emergency Medicine | 43 New Scotland Ave # Mc-139, Albany, NY 12208-3478 | 2016-06-06 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489808 | Thomas Miguel Castaneda | Emergency Medicine | 47 New Scotland Ave, Dept. of Emergency Medicine, Albany, NY 12208 | 2017-04-03 |
| 1366896581 | Collin Andrew Wulff | Emergency Medicine | 162 Ne Cloverdale Dr, Albany, OR 97321-1623 | 2016-04-14 |
| 1598000655 | St Peters Health Partners Medical Associates, PC | Emergency Medicine | 1444 Western Avenue, Suite C, St. Peter's Family Medicine, Albany, NY 12203 | 2012-11-30 |
| 1730404773 | Han H Chang | Emergency Medicine | 2669 Laura Vista Dr Nw, Albany, OR 97321-4106 | 2010-04-01 |
| 1346403268 | Tristan S Cooper | Emergency Medicine | 47 New Scotland Ave, Mail Code 39, Albany Medical Center - Dept of Emergency Medicine, Albany, NY 12208 | 2008-07-10 |
| 1326268491 | Michael Francis Ciccarelli Jr. | Emergency Medicine | 43 New Scotland Avenue, Albany Medical Center, Albany, NY 12208 | 2007-04-30 |
| 1194871715 | Amy Marie Little | Emergency Medicine | 196 Homestead Ave, Albany, NY 12206-1428 | 2007-01-26 |
| 1740354984 | Andrew N Meister | Emergency Medicine | 298 S Main Ave, Albany, NY 12208-2315 | 2006-11-20 |
| 1932216983 | J. Thalia Cunningham | Emergency Medicine | 113 Holland Ave # Avenu3, Albany, NY 12208-3410 | 2006-08-24 |
| 1881646396 | Lewis Cornelius | Emergency Medicine | 723 Burkesville St, Albany, KY 42602 | 2006-05-16 |
| 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.