DR. IRA S TISCH


Address: 555 French Rd, Suite 103, New Hartford, NY 13413-1044
Phone: 3157353541

DR. IRA S TISCH (NPI# 1629022967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629022967
Entity Type Individual
Full Name DR. IRA S TISCH
Other Name DR. IRA TISCH
Credential M.D.
Practice Address 555 French Rd
Suite 103
New Hartford
NY 13413-1044
Practice Telephone 3157353541
Practice Fax Number 3157243255
Mailing Telephone 3157353541
Mailing Fax Number 3157243255
Enumeration Date 2006-05-20
Last Update Date 2009-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 1576065 NY Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
1576065 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01748907 05

Office Location

Street Address 555 FRENCH RD
SUITE 103
City NEW HARTFORD
State NY
Zip Code 13413-1044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215989322 Charles J Eldredge Internal Medicine 555 French Rd, Suite 103, New Hartford, NY 13413-1044 2006-05-17
1043431281 Michael T James Nurse Practitioner 555 French Rd, Suite 103, New Hartford, NY 13413-1044 2007-05-02
1548346661 Ahmad Mian Internal Medicine 555 French Rd, Suite 103, New Hartford, NY 13413-1044 2006-10-31
1548287329 Mohawk Valley Nephrology Associates, LLP Internal Medicine 555 French Rd, Suite 103, New Hartford, NY 13413-1044 2006-07-16

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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750618906 Jershang Lin Internal Medicine 58 Janet Ter, New Hartford, NY 13413-2844 2009-11-09
1548346661 Ahmad Mian Internal Medicine 555 French Rd, Suite 103, New Hartford, NY 13413-1044 2006-10-31

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1275171472 Health Quest Medical Practice, PC Internal Medicine 667 Stoneleigh Ave Ste 123, Carmel, NY 10512-2455 2019-12-18
1881255370 Marc J Yunis Md PC Internal Medicine 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 2019-06-25
1750841953 Live Well Medical Care, PC Internal Medicine 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 2019-03-22
1124509278 Andre Francis Charest Internal Medicine 462 Grider St Fl 11, Buffalo, NY 14215-3021 2018-08-27
1760960132 Hn&d Company LLC Internal Medicine 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 2018-07-30
1669979720 Ambreen Azhar Internal Medicine St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 2018-04-06
1659898443 Broadway Medical Care, P.C. Internal Medicine 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 2017-08-23
1023539590 Ismail Omran Internal Medicine 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 2017-07-05
1932636636 Marco Bonilla Internal Medicine 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 2017-05-12
1386190676 Mubasshar Rehman Internal Medicine Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 2016-08-28
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Competitor

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City NEW HARTFORD
Zip Code 13413

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Dataset Information

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.

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