DR. MARK LESTER FRUITERMAN (NPI# 1609879709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609879709 |
Entity Type | Individual |
Full Name | DR. MARK LESTER FRUITERMAN |
Credential | M.D. |
Practice Address |
1365 Washington Ave Ste 300 Albany NY 12206-1098 |
Practice Telephone | 5184894704 |
Practice Fax Number | 5184890512 |
Mailing Telephone | 5184894704 |
Mailing Fax Number | 5184890512 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
116938 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00438459 | 05 |
Street Address |
1365 WASHINGTON AVE STE 300 |
City | ALBANY |
State | NY |
Zip Code | 12206-1098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811448657 | Albany Medical Center Hospital | Clinic/Center | 1365 Washington Ave, Albany, NY 12206-1068 | 2016-10-17 |
1821441726 | Albany Medical Center Hospital | Nuclear Medicine | 1365 Washington Ave, Suite 204, Albany, NY 12206-1068 | 2016-07-15 |
1689059123 | Albany Medical College | General Practice | 1365 Washington Ave, Suite 200, Albany, NY 12206-1068 | 2015-07-27 |
1700204641 | Albany Medical Center Hospital | Clinical Medical Laboratory | 1365 Washington Ave, Albany, NY 12206-1098 | 2014-03-28 |
1508280389 | Albany Medical College | Internal Medicine | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 | 2014-02-13 |
1992042840 | Jenna E Hafner | Physician Assistant | 1365 Washington Ave, Suite 100, Albany, NY 12206-1068 | 2013-01-12 |
1922361153 | Amy Lynn Santoro | Nurse Practitioner | 1365 Washington Ave, Suite 201, Albany, NY 12206-1068 | 2012-06-22 |
1215202973 | E Scott Macomber Md PC | Specialist | 1365 Washington Ave, Suite 200, Albany, NY 12206-1036 | 2012-03-14 |
1588960165 | Michael Dolen | Podiatrist | 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 | 2011-01-31 |
1306157318 | Capital Region Open Mri, Inc | Clinic/Center | 1365 Washington Ave, Suite 103, Albany, NY 12206-1068 | 2010-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
Find all providers in zip 12206 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
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 |
---|---|---|---|---|
1841204435 | Erik Appel Cohen | Internal Medicine | 1365 Washington Avenue Suite 300, The Endocrine Group, Albany, NY 12206 | 2006-07-28 |
1225425259 | Mohsinah Usmani | Internal Medicine | 63 Shaker Rd Ste 201, Albany, NY 12204-1030 | 2015-04-16 |
1508280389 | Albany Medical College | Internal Medicine | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 | 2014-02-13 |
1942501663 | Ana Maria Kausel | Internal Medicine | 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 | 2010-11-11 |
1538481965 | Susan Sunjung Kim I | Internal Medicine | 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 | 2010-02-26 |
1750525606 | Grace Kim | Internal Medicine | 47 New Scotland Ave, Internal Medicine, Albany, NY 12208-3412 | 2009-04-22 |
1215141056 | Michael Esposito & Richard Ginsburg Ptr | Internal Medicine | 614 Madison Ave, Albany, NY 12208 | 2007-05-10 |
1518034750 | Richard Mark Ginsburg | Internal Medicine | 614 Madison Ave, Albany, NY 12208 | 2006-11-30 |
1497857007 | Sara Nielsen Clark | Internal Medicine | 47 New Scotland Ave, Albany, NY 12208-3412 | 2006-09-03 |
1386689248 | Albany Medical College | Internal Medicine | 47 New Scotland Ave, Mc: 57, Albany, NY 12208-3412 | 2006-06-17 |
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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.