DR. JOHN M. SUPPLE (NPI# 1356596266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356596266 |
| Entity Type | Individual |
| Full Name | DR. JOHN M. SUPPLE |
| Credential | M.D |
| Practice Address |
3573 Rt. 82 Millbrook NY 12545 |
| Practice Telephone | 8456770547 |
| Practice Fax Number | 8456770547 |
| Mailing Telephone | 8456770547 |
| Mailing Fax Number | 8456770547 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 098946 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3573 RT. 82 |
| City | MILLBROOK |
| State | NY |
| Zip Code | 12545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618531 | Teresa Goetz | Acupuncturist | 22 Washington Avenue, Millbrook, NY 12545 | 2016-05-31 |
| 1588918668 | Michelle Schmid | Occupational Therapy Assistant | 41 Alden Place, Millbrook Central School District, Millbrook, NY 12545 | 2012-10-29 |
| 1306091103 | Mindy Sue Marr | Speech-Language Pathologist | 30 Weatherford Lane, Millbrook, NY 12545 | 2008-11-20 |
| 1285883173 | Anne Cecelia Zukowski | Licensed Practical Nurse | 127 College Lane, Millbrook, NY 12545 | 2008-09-16 |
| 1295983336 | Justin Scheer | Internal Medicine | 3105 Route 44, Millbrook, NY 12545 | 2008-09-03 |
| 1851588990 | Millbrook Medical Practice PC | Specialist | 28 Front Street, Millbrook, NY 12545 | 2007-10-03 |
| 1952518177 | Leonard N Lomangino | Dentist | 3302 Franklin Avenue, Millbrook, NY 12545 | 2007-05-17 |
| 1629298849 | Victor Y Soltis | Dentist | 3302 Franklin Ave, Millbrook, NY 12545 | 2007-04-27 |
| 1538292784 | Adrienne Celeste Murawa | Licensed Practical Nurse | 55 Ramble Hill Ln, Millbrook, NY 12545 | 2007-03-14 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| Find all providers in zip 12545 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295911683 | Marla H Wohlman Md PC | Family Medicine | 3351 Main St, Millbrook, AL 36054-3218 | 2008-01-15 |
| 1336365519 | Morris W White | Family Medicine | 3821 Frasier St, Millbrook, AL 36054-3432 | 2007-04-17 |
| 1225178031 | Marla H. Wohlman | Family Medicine | 3351 Main Street, Millbrook, AL 36054 | 2007-02-08 |
| 1043362734 | Physical Express | Family Medicine | 4081 Alabama Hwy 14, Millbrook, AL 36054 | 2007-01-16 |
| 1760428833 | Margaret Coughlan | Family Medicine | 3712 Route 44, Millbrook, NY 12545-0167 | 2006-06-20 |
| 1508814922 | Steven L Allen | Family Medicine | 3769 Hwy 14, Millbrook, AL 36054 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 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.