DR. ELLIS W LADER (NPI# 1538151782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538151782 |
| Entity Type | Individual |
| Full Name | DR. ELLIS W LADER |
| Credential | M.D. |
| Practice Address |
111 Mary's Ave Suite 3 Kingston NY 12401-5853 |
| Practice Telephone | 8453393663 |
| Practice Fax Number | 8453393629 |
| Mailing Telephone | 8453393663 |
| Mailing Fax Number | 8453393629 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
140598 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
140598 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00747562 | 05 |
| Street Address |
111 MARY'S AVE SUITE 3 |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-5853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818343 | Aneta K Dimova | Internal Medicine | 111 Mary's Ave, Suite 3, Kingston, NY 12401-5853 | 2005-08-15 |
| 1427040666 | Gary S Cohen | Internal Medicine | 111 Mary's Ave, Suite 3, Kingston, NY 12401-5853 | 2005-08-15 |
| 1427040674 | Dineshkant N Parikh | Internal Medicine | 111 Mary's Ave, Suite 3, Kingston, NY 12401-5853 | 2005-08-15 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1033101019 | Paul M Reiter | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2005-08-17 |
| 1104818343 | Aneta K Dimova | Internal Medicine | 111 Mary's Ave, Suite 3, Kingston, NY 12401-5853 | 2005-08-15 |
| 1205839495 | Joseph Christiana | Internal Medicine | 55 Grand St, Ste 106, Kingston, NY 12401-3933 | 2005-05-23 |
| 1184225948 | Farook K Shroff Md | Internal Medicine | 517 Pierce St, Kingston, PA 18704-5756 | 2020-11-06 |
| 1881933646 | Health Quest Medical Practice | Internal Medicine | 55 Grand St, Kingston, NY 12401-3933 | 2013-02-13 |
| 1427393149 | St Peters Health Partners Medical Associates, PC | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2012-12-06 |
| 1164742912 | Shalin Jitendra Patel | Internal Medicine | 365 Broadway, Kingston, NY 12401 | 2010-06-03 |
| 1790865764 | Rachid Elkoustaf | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2006-10-16 |
| 1487755591 | David F Rimple | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-09-25 |
| 1265545990 | Richard Abramowitz | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-08-16 |
| 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.