SAND CREEK MEDICAL PC (NPI# 1275624900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275624900 |
| Entity Type | Organization |
| Organization Name | SAND CREEK MEDICAL PC |
| Practice Address |
116 Everett Rd Albany NY 12205-1427 |
| Practice Telephone | 5184371200 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BASAVARAJA OREKONDY (PRESIDENT) |
| Authorized Official Telephone | 5184371200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 115905 | NY | Other Service Providers |
| Street Address |
116 EVERETT RD |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325825 | Pamela J Madej | Registered Nurse | 116 Everett Rd, Albany, NY 12205-1427 | 2005-09-09 |
| 1326504234 | Kristin Franke Stalker | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205 | 2019-02-15 |
| 1689059032 | Sarah Thomas | Nurse Practitioner | 116 Everett Rd, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 | 2015-07-28 |
| 1558755983 | Kimberley Schuller | Anesthesiology | 116 Everett Rd, Albany, NY 12205-1427 | 2015-03-24 |
| 1225455439 | Geraldine Lehman | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2014-03-25 |
| 1386959716 | Shannon Lauren O'meara | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2010-08-10 |
| 1558524017 | Priti Vohra | Physical Medicine & Rehabilitation | 116 Everett Rd, Albany, NY 12205-1427 | 2008-07-05 |
| 1215981261 | Medical Pain Management Services, Pllc | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2006-05-22 |
| 1598725673 | Martin Gerard Ferrillo | Physical Medicine & Rehabilitation | 116 Everett Rd, Albany, NY 12205-1427 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
| 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.