SUSAN K GIBBONS MD PLLC (NPI# 1427040682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427040682 |
| Entity Type | Organization |
| Organization Name | SUSAN K GIBBONS MD PLLC |
| Practice Address |
43 New Scotland Ave Mc 95 Dept Radiation Oncology Albany NY 12208-3412 |
| Mailing Address |
Po Box 8510 Susan K Gibbons Md Albany NY 12208-0510 |
| Practice Telephone | 5182623368 |
| Mailing Telephone | 5182623368 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN K GIBBONS (OWNER) |
| Authorized Official Telephone | 5182623368 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
43 NEW SCOTLAND AVE MC 95 DEPT RADIATION ONCOLOGY |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022181 | Florence Elizabeth Tharman | Audiologist-Hearing Aid Fitter | 43 New Scotland Ave, Albany, NY 12208-3412 | 2005-06-08 |
| 1154922805 | Jonathan David Lachance | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-11-07 |
| 1871194886 | Adam Andrews | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-05 |
| 1740881747 | Alexander Igoe | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-05 |
| 1104425495 | Rachael Debra Gardner | Family Medicine | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-10-19 |
| 1033717459 | Roxanne N Sokaris | Registered Nurse | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-10-16 |
| 1972100915 | Lalainya Marie O'connell | Pediatrics | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-10-02 |
| 1003421033 | Kelly N Miles | Registered Nurse | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-09-15 |
| 1366057606 | Melissa Falzon | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-09-14 |
| 1124630413 | Mason Mcdermott | Occupational Therapist | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-08-19 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639152085 | Charles M Mendenhall | Radiology | 425 3rd Ave, Ste 50, Albany, GA 31701-1955 | 2005-11-21 |
| 1679575526 | Tia D Olds | Radiology | 400 Patroon Creek Blvd Ste 1, Albany, NY 12206-5014 | 2005-08-11 |
| 1093716870 | Anurag Chandra | Radiology | 43 New Scotland Ave # Mc95, Albany, NY 12208-3412 | 2005-08-03 |
| 1760483788 | Ralf K Kiehl | Radiology | 317 S Manning Blvd, Suite 100, Albany, NY 12208-1738 | 2005-08-02 |
| 1669944237 | Khaled Adil | Radiology | 43 New Scotland Ave, Albany, NY 12208-3412 | 2018-12-20 |
| 1740501394 | Kyle Andrew Denniston | Radiology | 317 S Manning Blvd Ste 100, Albany, NY 12208 | 2010-06-17 |
| 1568582864 | Radiation Oncology Associates, PC | Radiology | 425 W 3rd Ave Ste 50, Albany, GA 31701-1955 | 2007-03-30 |
| 1376603159 | Christian Anthony Gasson | Radiology | 317 S Manning Blvd, Suite 100, Albany, NY 12208-1738 | 2006-12-11 |
| 1003844416 | Robert A Belgam | Radiology | 113 Holland Ave, Stratton Va Medical Center, Albany, NY 12208-3410 | 2006-06-28 |
| 1285626309 | Albany Radiation Oncology Associates LLC | Radiology | 317 S Manning Blvd, Suite 100, Albany, NY 12208-1738 | 2005-08-16 |
| 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.