ANSELMO DEASIS (NPI# 1427082908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427082908 |
| Entity Type | Individual |
| Full Name | ANSELMO DEASIS |
| Credential | M.D. |
| Practice Address |
7433 State Route 54 Bath NY 14981 |
| Mailing Address |
111 E 14th St Elmira Heights NY 14903-1303 |
| Practice Telephone | 6077769198 |
| Practice Fax Number | 6077769199 |
| Mailing Telephone | 6077349539 |
| Mailing Fax Number | 6077346293 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 184984 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01267674 | 05 |
| Street Address |
7433 STATE ROUTE 54 |
| City | BATH |
| State | NY |
| Zip Code | 14981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801807037 | Anselmo D. Deasis M.d. | Internal Medicine | 7433 State Route 54, Bath, NY 14810 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275176 | Alison Nicole Moore | Behavior Technician | 13287 Center Rd, Bath, MI 48808-8438 | 2020-08-16 |
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1255953782 | Tina Marie Loucks | Technician | 6294 Fulford Hill Rd, Bath, NY 14810-8156 | 2020-05-06 |
| 1083253827 | Mary Hughes | Speech-Language Pathologist | 7599 Beth Bath Pike, Bath, PA 18014-8968 | 2019-12-26 |
| 1417592502 | Justin Tyler Ford | Physical Therapist | 6651 Silver Crest Rd Ste 102, Bath, PA 18014-8906 | 2019-11-12 |
| 1235773755 | Hallee D Breton | Physical Therapist | 55 Congress Ave Ste 6, Bath, ME 04530-1536 | 2019-10-29 |
| 1275174344 | Gloria Payne | Homemaker | 31 Willow St, Bath, ME 04530-2719 | 2019-09-30 |
| 1801442884 | Rachel Danielle Young | Pharmacist | 2764 Hill Dr, Bath, PA 18014-9145 | 2019-08-14 |
| 1982256657 | Meagan Ellinger | Pharmacist | 2030 Hetrick Rd, Bath, IN 47010-9705 | 2019-07-12 |
| Find all providers in BATH | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699958249 | Myron K Krueger Md Pa | Internal Medicine | 765 High Street, Bath, ME 04530 | 2007-12-06 |
| 1457498990 | Linda K. Blose | Internal Medicine | 2445 Plaza Ct, Bath, PA 18014-8762 | 2007-02-01 |
| 1720002215 | James Howard Raker | Internal Medicine | 51 Winship St, Bath, ME 04530-2843 | 2006-07-27 |
| 1598799934 | Daniel H Wood | Internal Medicine | 1356a Washington St, Bath, ME 04530-2847 | 2006-07-10 |
| 1447284708 | Benjamin S Herman | Internal Medicine | 1356a Washington Street, Bath, ME 04530 | 2006-07-10 |
| 1699776369 | Iftikhar Ahmad | Internal Medicine | 6649 Chrisphalt Dr, Suite 101, Bath, PA 18014-8500 | 2005-08-03 |
| 1568469401 | Amy K Etzweiler | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2005-07-07 |
| 1376546077 | Carol L Holobinko | Internal Medicine | 7603 Route 54, Bath, NY 14810-7930 | 2005-05-27 |
| 1043622012 | Lisa Jennifer Yeh | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2014-05-27 |
| 1386080182 | Christina Anne Kapala | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2013-05-20 |
| Find all providers in BATH | ||||
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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.