PAUL R. DITTES, M.D., PC (NPI# 1477648483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477648483 |
| Entity Type | Organization |
| Organization Name | PAUL R. DITTES, M.D., PC |
| Other Organization Name | UPDATE VEIN LASER TREATMENT CENTER |
| Practice Address |
4 Executive Park Dr Albany NY 12203-3718 |
| Practice Telephone | 5184598200 |
| Mailing Telephone | 5184598200 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL R DITTES (OWNER) |
| Authorized Official Telephone | 5184598200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Update Vein Laser Treatment Center | Doing Business As Name - Organization |
| Street Address |
4 EXECUTIVE PARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314805 | Thomas F. Fashouer | Specialist/Technologist | 4 Executive Park Dr, Albany Physical Therapy, Albany, NY 12203-3718 | 2005-08-29 |
| 1578045258 | Juwon Park Dmd PC | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-08-30 |
| 1265936496 | Purificato Physical Therapy Pllc | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-03-21 |
| 1649799636 | James Nalbone, Md Pllc | Psychiatry & Neurology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2017-09-12 |
| 1962883595 | Terence Hoyt | Counselor | 4 Executive Park Dr, Ste 201, Albany, NY 12203-3718 | 2015-06-09 |
| 1831529098 | Sphpma Crus Urology | Urology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2013-11-25 |
| 1184979171 | Capital Region Urological Surgeons | Specialist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-07-17 |
| 1164781837 | Phrances Blay Hinch | Nurse Practitioner | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-05-15 |
| 1942529631 | Subrata Mukherjee | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-05-20 |
| 1720300296 | Andrea Berkowitz Lcsw | Social Worker | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211365 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 110b, Albany, NY 12208-1744 | 2018-07-12 |
| 1205007333 | Albany Vascular Specialist Center | Surgery | 2300 Dawson Rd, Suite 101, Albany, GA 31707-2803 | 2008-03-17 |
| 1073716049 | Adriana Laser | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2007-06-07 |
| 1134242308 | Phoebe Putney Memorial Hospital | Surgery | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2007-04-10 |
| 1356342281 | Francis N Herrbold | Surgery | 425 W 3rd Ave, Albany, GA 31701-1941 | 2005-08-02 |
| 1891277000 | Albany Medical College | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2018-09-04 |
| 1265852008 | Yoni Samocha | Surgery | 47 New Scotland Ave, Department of Surgery, Albany, NY 12208-3412 | 2014-04-20 |
| 1891023222 | Vascular Health and Wellness, LLC | Surgery | 2300 Dawson Rd, Suite 100, Albany, GA 31707-2803 | 2009-11-23 |
| 1588821482 | Xzabia Annette Caliste | Surgery | 391 Myrtle Ave Ste 5, Albany, NY 12208-3797 | 2008-05-19 |
| 1427230150 | Joe Harris Morgan IIi | Surgery | 2002 Palmyra Rd, Suite 202, Albany, GA 31701-1591 | 2007-12-05 |
| 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.