DOUGLAS BEATY FAIR (NPI# 1265750061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265750061 |
| Entity Type | Individual |
| Full Name | DOUGLAS BEATY FAIR |
| Credential | M.D. |
| Practice Address |
540 Myrtle Ave Albany NY 12208-3303 |
| Practice Telephone | 5183218582 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2016-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 8653218-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
8653218-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689798910 | Douglas M Fair | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2007-03-19 |
| Street Address |
540 MYRTLE AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3303 |
| 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 | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679913057 | Jessica Geaney | Pediatrics | 43 New Scotland Ave # Mc24, Albany, NY 12208-3412 | 2013-06-28 |
| 1750607214 | Maria O Boucher | Pediatrics | 43 New Scotland Ave, Mc 24, Albany, NY 12208-3412 | 2010-04-08 |
| 1336307818 | Lauren Weintraub | Pediatrics | 43 New Scotland Ave, Mc-24, Albany, NY 12208-3412 | 2008-05-30 |
| 1871607622 | Vikramjit Singh Kanwar | Pediatrics | 47 New Scotland Ave, Albany, NY 12208-3412 | 2006-08-18 |
| 1801881982 | Joanne Cullinane Porter | Pediatrics | 47 New Scotland Ave, Albany, NY 12208-3412 | 2005-09-15 |
| 1528053782 | Jennifer M Pearce | Pediatrics | 47 New Scotland Ave, Albany, NY 12208-3412 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669818084 | Gabriel Andrew Robbins | Pediatrics | 160 E. 32nd Street, Medical Floor, New York, NY 10016 | 2013-05-13 |
| 1902151707 | Mary Margaret Sugrue | Pediatrics | 166 Pine St, Garden City, NY 11530-6641 | 2012-07-17 |
| 1568750461 | Dominder Kaur | Pediatrics | 161 Ft Washingtn Ave # Ip-7, New York, NY 10032-3729 | 2011-07-13 |
| 1154624278 | Nezih Cereb | Pediatrics | 300 Executive Blvd, Ossining, NY 10562-2562 | 2010-12-11 |
| 1366753824 | Andre Dion Lascari | Pediatrics | 528 Ny 351, Poestenkill, NY 12140 | 2010-06-29 |
| 1093031783 | Maria Bhatti | Pediatrics | 2625 Harlem Rd Ste 170, Cheektowaga, NY 14225-4033 | 2010-04-20 |
| 1073786182 | Staci D. Arnold | Pediatrics | 3959 Broadway # Chn1003n, New York, NY 10032-1559 | 2008-04-09 |
| 1871618397 | Dr Yusuf's Getwell Pediatrics of New York, Pllc | Pediatrics | 6417 Broadway Fl 2, Woodside, NY 11377-2336 | 2007-03-21 |
| 1952461097 | Jeffrey Lipton | Pediatrics | Lijmc Pediatric Hem Onc, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1649330788 | Gungor Karayalcin | Pediatrics | Sch Hematology Oncology, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
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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.