HOSPITALIST MEDICINE PHYSICIANS OF ALBANY COUNTY, PLLC (NPI# 1578502498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578502498 |
| Entity Type | Organization |
| Organization Name | HOSPITALIST MEDICINE PHYSICIANS OF ALBANY COUNTY, PLLC |
| Practice Address |
600 Northern Blvd Albany NY 12204-1004 |
| Mailing Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
| Practice Telephone | 3304934443 |
| Practice Fax Number | 3304938677 |
| Mailing Telephone | 3304934443 |
| Mailing Fax Number | 3304938677 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | DAVID C PACKO (PRESIDENT) |
| Authorized Official Telephone | 3304934443 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02409823 | 05 |
| Street Address |
600 NORTHERN BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12204-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717038 | Brooke Anna Coticchio | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-08-28 |
| 1528628187 | Joni Ann Goldberg | Speech-Language Pathologist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-06-17 |
| 1326506122 | Alexis Erin Michele Lane | Nurse Practitioner | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-03-11 |
| 1093288300 | Giuseppe Ragonese | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-01-09 |
| 1225500416 | Misty Ash Jones | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1235601428 | Deborah D'amico | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1679089973 | Jessica Elizabeth Breda | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-12-21 |
| 1568985521 | Jordyn Diane Thiem | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-21 |
| 1144743436 | Lisa Marie Slade | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-19 |
| 1659891208 | Laura Segal | Physical Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| 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 |
|---|---|---|---|---|
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1659931848 | Hala Elfaki | Internal Medicine | 10 Callaway Circle, Loudonville, Albany, NY 12211-1221 | 2019-06-19 |
| 1447720271 | Paul E Lemanski Md Pllc | Internal Medicine | 2 Executive Park Dr Ste 1, Albany, NY 12203-3700 | 2018-12-05 |
| 1528595147 | Asha Pandu | Internal Medicine | 178 Washington Avenue Ext # Mc-58, Albany, NY 12203-5304 | 2017-05-13 |
| 1720531080 | Hania Shahid | Internal Medicine | 47 New Scotland Avenue, Dept of Internal Medicine, Albany, NY 12208-3412 | 2016-08-03 |
| 1376995431 | Asad Ullah | Internal Medicine | 47 New Scotland Ave # Mc-17, Albany, NY 12208-3412 | 2016-07-12 |
| 1831552397 | Mukund Madhaw Das | Internal Medicine | St. Peter's Hospital of The City of Albany, Hospitalist Department 315 So Manning Blvd, Albany, NY 12208 | 2016-04-01 |
| 1295128619 | Erik Rueckert | Internal Medicine | 400 Hickory St Nw # 300, Albany, OR 97321-1700 | 2015-03-10 |
| 1003207978 | Emmanuelle Cordero Torres | Internal Medicine | 47 New Scotland Ave Dept of Nephrology, Albany Medical Center, Albany, NY 12208 | 2015-02-12 |
| 1376944348 | Ravi Vuthoori | Internal Medicine | 43 New Scotland Ave # Mc-50, Albany, NY 12208-3412 | 2014-09-10 |
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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.