DR. STEPHEN EDWARD DUNHAM SR. (NPI# 1508387655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508387655 |
Entity Type | Individual |
Full Name | DR. STEPHEN EDWARD DUNHAM SR. |
Credential | DPM |
Practice Address |
105 Marys Ave Kingston NY 12401-5848 |
Mailing Address |
1174 Creek Locks Rd Lot 405 Bloomington NY 12411-5137 |
Practice Telephone | 8453382500 |
Enumeration Date | 2017-06-29 |
Last Update Date | 2017-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO6419 | NY | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255668612 | Stephen Matthew Dunham | Pharmacist | 1015 Randolph St, Thomasville, NC 27360-5876 | 2009-11-05 |
Street Address |
105 MARYS AVE |
City | KINGSTON |
State | NY |
Zip Code | 12401-5848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598768582 | Susan Ruth Hollar | Audiologist | 105 Marys Ave, Department of Audiology, Kingston, NY 12401-5848 | 2005-05-23 |
1699337816 | Rachel Lee Bugarin | Nurse Practitioner | 105 Marys Ave, Kingston, NY 12401-5848 | 2019-07-08 |
1417443433 | Tara Laine Mainieri | Nurse Practitioner | 105 Marys Ave, Kingston, NY 12401-5848 | 2018-07-02 |
1972037224 | Tammy Carlile | Social Worker | 105 Marys Ave, Kingston, NY 12401-5848 | 2017-04-13 |
1700164258 | Specialty Fittings, Incorporated | Prosthetic/Orthotic Supplier | 105 Marys Ave, Kingston, NY 12401-5848 | 2011-08-02 |
1013200161 | Manpreet Grewal | Psychiatry & Neurology | 105 Marys Ave, Kingston, NY 12401-5848 | 2011-05-24 |
1215256250 | Jennifer Mary Spada | Counselor | 105 Marys Ave, Kingston, NY 12401-5848 | 2010-05-28 |
1457680142 | Subooha Zafar, Md LLC | Internal Medicine | 105 Marys Ave, Benedictine Hospital Sleep Lab, Kingston, NY 12401-5848 | 2009-12-09 |
1518170356 | Stefania Stella Giobbe | Pathology | 105 Marys Ave, Kingston, NY 12401-5848 | 2007-05-08 |
1548311947 | Mamie Caton | Emergency Medicine | 105 Marys Ave, Kingston, NY 12401-5848 | 2007-01-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
Find all providers in zip 12401 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720341787 | Andrew Hune | Podiatrist | 103 Hurley Ave., Kingston, NY 12401 | 2012-06-24 |
1548346281 | Todd E Stevens | Podiatrist | 4491 Route 27, Kingston, NJ 08528-9601 | 2006-10-27 |
1891239737 | Ashley Arzadon | Podiatrist | 396 Broadway, Kingston, NY 12401-4626 | 2016-12-12 |
1144673575 | Sergio Salazar | Podiatrist | 103 Hurley Ave, Kingston, NY 12401-2829 | 2016-07-20 |
1992185169 | Amanda Kathleen Maloney | Podiatrist | 103 Hurley Ave, Kingston, NY 12401 | 2015-06-03 |
1215370986 | Kevin Thomas Dpm PC | Podiatrist | 200 2nd Ave, Kingston, PA 18704-5722 | 2013-04-12 |
1033458518 | Joseph Francis Daley | Podiatrist | 421 Market St, Kingston, PA 18704-5418 | 2013-02-04 |
1801045919 | Associates In Podiatry | Podiatrist | 4491 Route 27, Kingston, NJ 08528-9601 | 2008-09-12 |
1750542205 | Daniel Joseph Saporito | Podiatrist | 421 Market St, Kingston, PA 18704-5418 | 2008-06-18 |
1730366790 | Hudson Valley Foot Associates, LLP | Podiatrist | 103 Hurley Ave, Kingston, NY 12401-2829 | 2008-01-22 |
Find all providers in KINGSTON |
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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.