CAPITAL REGION UROLOGICAL SURGEONS (NPI# 1295001089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295001089 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION UROLOGICAL SURGEONS |
| Practice Address |
319 S Manning Blvd Suite 106 Albany NY 12208-1742 |
| Mailing Address |
4 Executive Park Dr Albany NY 12203-3718 |
| Practice Telephone | 5184380507 |
| Mailing Telephone | 5184897494 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | JENNIFER YATES (BILLING DIRECTOR) |
| Authorized Official Telephone | 5184380507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184979171 | Capital Region Urological Surgeons | Specialist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-07-17 |
| 1700131992 | Capital Region Urological Surgeons | Specialist | 19 West Ave, Saratoga Spgs, NY 12866-6049 | 2012-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CAPITAL REGION UROLOGICAL SURGEONS, PLLC | Nixon Peabody LLP, 677 Brodway 10th Flr, Albany, New York 12207 |
| Street Address |
319 S MANNING BLVD SUITE 106 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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.