ALBANY STATE UNIVERSITY (NPI# 1598284408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598284408 |
| Entity Type | Organization |
| Organization Name | ALBANY STATE UNIVERSITY |
| Other Organization Name | ALBANY STATE SPORTS MEDICINE |
| Practice Address |
504 College Dr Albany GA 31705-2717 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 008291 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Albany State Sports Medicine | Doing Business As Name - Organization |
| Street Address |
504 COLLEGE DR |
| City | ALBANY |
| State | GA |
| Zip Code | 31705-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316293061 | Natalie R Thomas | Nurse Practitioner | 504 College Dr, Acad 138, Albany, GA 31705-2717 | 2012-07-31 |
| 1356827349 | Jonathan Steven White | Specialist/Technologist | 504 College Dr, Albany, GA 31705-2796 | 2018-07-13 |
| 1740790096 | Sierra Brooke Welsch | Physical Medicine & Rehabilitation | 504 College Dr, Albany, GA 31705-2717 | 2017-10-01 |
| 1477063725 | Jesse Wade Mcintyre | Physical Medicine & Rehabilitation | 504 College Dr, Albany, GA 31705-2717 | 2017-10-01 |
| 1598283996 | Rebecc Mohl Borer | Physical Medicine & Rehabilitation | 504 College Dr, Albany, GA 31705-2717 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897410 | Bonnie Scott | Technician | 418 Persimmon Road, Albany, GA 31705 | 2019-08-22 |
| 1265962906 | Shoes and Medical Product Solutions LLC | Durable Medical Equipment & Medical Supplies | 1715 E Oglethorpe Blvd, Albany, GA 31705 | 2017-06-15 |
| 1083156079 | Dianne Lanier | Specialist | 217 Johnson Road Suite C, Albany, GA 31705 | 2016-11-08 |
| 1699225342 | Yolanda Fields | Contractor | 609 Pine Glen Drive, Albany, GA 31705 | 2016-10-06 |
| 1225276272 | Michael Bernard Sanders | Prosthetist | 326 Enterprise Dr., Albany, GA 31705 | 2009-01-29 |
| 1588724223 | Karen Baker | Nurse Practitioner | 213 Old Radium Springs Road, Albany, GA 31705 | 2006-12-11 |
| 1780608992 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1712-a East Broad Avenue, Albany, GA 31705 | 2006-07-27 |
| 1740289545 | Belise Livingston-burns | Pediatrics | 1712-c East Broad Avenue, Albany, GA 31705 | 2005-07-14 |
| 1407950876 | Donna Edmond-king | Pediatrics | 1712-c East Broad Avenue, Albany, GA 31705 | 2006-09-07 |
| 1396849766 | William Mcpeters | Internal Medicine | 1712-a East Broad Avenue, Albany, GA 31705 | 2006-09-07 |
| Find all providers in zip 31705 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1700045382 | Andrew C Gerdeman | Orthopaedic Surgery | 1367 Washington Aveneu, Suite 200, Albany, NY 12206-1048 | 2008-06-09 |
| 1598942773 | Albany Bone & Joint Clinic, P.C. | Orthopaedic Surgery | 2726 Ledo Rd, Suite 2, Albany, GA 31707-7622 | 2008-01-30 |
| 1598974719 | Aniefiok Imeh Uyoe | Orthopaedic Surgery | 2709 Meredyth Dr Ste 450, Albany, GA 31707 | 2007-05-22 |
| 1346286176 | Bryan S. Bilfield | Orthopaedic Surgery | 319 S. Manning Blvd., Albany, NY 12208-1738 | 2006-06-21 |
| 1881670602 | Robert R Granville Jr. | Orthopaedic Surgery | 2405 Osler Ct, Albany, GA 31707-0214 | 2005-12-22 |
| 1780668780 | Mark Alan Wolgin | Orthopaedic Surgery | 619 Pointe North Blvd, Albany, GA 31721-1514 | 2005-12-02 |
| 1154304715 | Joachim J Tenuta | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206-1043 | 2005-11-28 |
| 1659362044 | William James Smith | Orthopaedic Surgery | 121 Everett Rd, Albany, NY 12205-1447 | 2005-11-03 |
| 1649261991 | James A Ryan | Orthopaedic Surgery | 832 Elm St Sw Ste 101, Albany, OR 97321-2062 | 2005-11-03 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on ALBANY STATE UNIVERSITY.
| 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.