CAROLYN HEINS (NPI# 1447604202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447604202 |
| Entity Type | Individual |
| Full Name | CAROLYN HEINS |
| Other Name | CAROLYN ELLSWORTH |
| Practice Address |
391 Myrtle Ave Ste 4a Albany NY 12208-3797 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5182072273 |
| Practice Fax Number | 5182072293 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 299061 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 299061 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Northern Blvd, Albany, NY 122041004 | 5184713221 | |
| 315 S Manning Blvd, Albany, NY 122081707 | 5185251550 | |
| 2215 Burdett Ave, Troy, NY 121802466 | 5182713300 |
| Street Address |
391 MYRTLE AVE STE 4A |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861612814 | Brigid Mack | Family Medicine | 391 Myrtle Ave Ste 4a, Albany, NY 12208-3797 | 2007-05-01 |
| 1497311765 | Christina Kathleen Blot | Nurse Practitioner | 391 Myrtle Ave Ste 4a, Albany, NY 12208-3829 | 2019-05-13 |
| 1881130722 | Danielle M Wolf | Social Worker | 391 Myrtle Ave Ste 4a, Albany, NY 12208-3797 | 2017-01-17 |
| 1659735769 | Madeline Haas | Family Medicine | 391 Myrtle Ave Ste 4a, Albany, NY 12208 | 2016-04-06 |
| 1285895714 | Ann Elizabeth Rutter | Family Medicine | 391 Myrtle Ave Ste 4a, Albany, NY 12208-3797 | 2008-06-18 |
| 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 | 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 |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1407492796 | American Ecare | Family Medicine | 3 Computer Dr W Ste 107, Albany, NY 12205-1621 | 2019-11-21 |
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1790332831 | Granland3 LLC | Family Medicine | 2622 Dawson Rd, Albany, GA 31707-1609 | 2019-08-22 |
| 1295397065 | Cerrito Creek Family Medicine Inc | Family Medicine | 400 Evelyn Ave., St. 107, Albany, CA 94706 | 2019-07-02 |
| 1487190526 | Tracey Anyanwu | Family Medicine | 539 N Westover Blvd, 133, Albany, GA 31707-1951 | 2017-01-12 |
| 1275911828 | St Claire Gitau Sumaili | Family Medicine | 2403 Osler Ct Ste A, Albany, GA 31707-0205 | 2015-05-15 |
| 1235516071 | Daniel Barton Mosher | Family Medicine | 2605 Willetta St Sw Ste D1, Albany, OR 97321-3481 | 2015-04-30 |
| 1508129214 | Alan Shifman Charles | Family Medicine | 741 Gateview Ave, Albany, CA 94706-1029 | 2012-06-18 |
| 1770840324 | Joseph A Kelly | Family Medicine | 27 Park Ln E, #2, Albany, NY 12204-1960 | 2012-04-20 |
| 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.