ANDREW JAMES BLACK (NPI# 1659318020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659318020 |
| Entity Type | Individual |
| Full Name | ANDREW JAMES BLACK |
| Credential | M.D. |
| Practice Address |
2215 Burdett Ave. Hmp of Samaritan Troy NY 12180-2466 |
| Practice Telephone | 5182703094 |
| Practice Fax Number | 5182703095 |
| Mailing Telephone | 5182703094 |
| Mailing Fax Number | 5182703095 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 244711 | NY | Allopathic & Osteopathic Physicians |
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
036-108517 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 244711 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-108517 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 South Manning Blvd, Hospitalist Department, Albany, NY 12208 | 5185251550 | |
| 600 Northern Blvd, Hospitalist Department, Albany, NY 12204 | 5184713221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790011724 | Andrew P Black | Physician Assistant | 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 | 2009-10-27 |
| 1548408669 | Andrew P Black | Podiatrist | 1050 Sw 3rd Ave Ste 400, Ontario, OR 97914-2197 | 2009-01-27 |
| 1457480659 | Andrew Steven Black | Chiropractor | 64 Fulton St, Ground Floor Office, New York, NY 10038-1854 | 2007-03-05 |
| 1851392351 | Andrew William Black | Internal Medicine | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2005-08-09 |
| 1346726999 | Andrew Black | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2018-07-17 |
| 1740787241 | Andrew Black | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-04-11 |
| 1306204193 | Andrew Black | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-02-08 |
| 1245620137 | Andrew Black IIi | Physical Therapist | 1725 Laskin Rd, Virginia Beach, VA 23454 | 2015-01-29 |
| 1063838720 | Andrew Allen Black | Massage Therapist | 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 | 2014-03-05 |
| 1417222340 | Andrew Patrick Black | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2012-03-10 |
| Street Address |
2215 BURDETT AVE. HMP OF SAMARITAN |
| City | TROY |
| State | NY |
| Zip Code | 12180-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487834685 | Madge Ellen Postal | Social Worker | 2215 Burdett Ave., Samaritan Hospital, Troy, NY 12180 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760682298 | Claudia Graham | Hospitalist | 147 Hoosick St Ste K, Troy, NY 12180-2393 | 2007-07-23 |
| 1841722774 | Benjamin Frank Villarreal | Hospitalist | 2215 Burdett Ave, Troy, NY 12180-2466 | 2017-03-30 |
| 1407205883 | Ali Saker | Hospitalist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2016-06-07 |
| 1144617846 | Sujata Putatunda | Hospitalist | 44201 Dequindre Rd, Troy, MI 48085 | 2015-04-20 |
| 1730593146 | Arshdeep Singh Sandhu | Hospitalist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2014-06-13 |
| 1790118875 | Kayode Odutayo | Hospitalist | 2215 Burdett Ave, Troy, NY 12180-2466 | 2013-08-13 |
| 1639431513 | Upper Valley Professional Corporation | Hospitalist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2012-06-15 |
| 1770863052 | Troy Regional Physicians Inc | Hospitalist | 1330 Highway 231 S, Troy, AL 36081 | 2011-08-18 |
| 1063709459 | Rami Hanna | Hospitalist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2011-07-06 |
| 1073827689 | Mi Physicians Pllc | Hospitalist | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2010-08-06 |
| Find all providers in TROY | ||||
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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.