ST. PETER'S HOSPITAL (NPI# 1679947212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679947212 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HOSPITAL |
| Other Organization Name | ST. PETER'S HEALTH CENTER FOR CHILDREN |
| Practice Address |
1092 Madison Avenue Albany NY 12208-2248 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5185252445 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Peter's Health Care for Children | Other Name - Individual/Organization |
| St. Peter's Health Center for Children | Doing Business As Name - Organization |
| St. Peter's Hospital Sleep Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Pine West Plaza, Washington Ave Ext., Suite 101, Albany, NY 122055537 | 5184649999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063885788 | St. Peter's Hospital | Internal Medicine | 319 S Manning Blvd, Suite 110b, Albany, NY 12208-1742 | 2015-11-03 |
| 1881997104 | St. Peter's Hospital | Surgery | 317 S Manning Blvd, Suite 250, Albany, NY 12208-1739 | 2010-12-08 |
| 1881885176 | St. Peter's Hospital | General Acute Care Hospital | 315 S Manning Blvd, 6509 Cusack, Albany, NY 12208-1707 | 2007-08-05 |
| 1518186741 | St. Peter's Hospital | Internal Medicine | 2525 E Broadway St, Suite 203, Helena, MT 59601-8049 | 2007-04-25 |
| 1609931443 | St. Peter's Hospital | Rehabilitation Hospital | 50 Remsen St, Cohoes, NY 12047-2634 | 2006-12-22 |
| 1760586481 | St. Peter's Hospital | Ambulance | 2475 E Broadway St, Helena, MT 59601-4928 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST PETER'S HOSPITAL FOUNDATION, INC. | 319 S Manning Blvd Ste 309, Albany, NY 12208-1744 |
| System for Award Management (SAM) Entities | ST. PETER'S HOSPITAL | 2475 Bdwy, Helena, MT 59601 |
| System for Award Management (SAM) Entities | ST. PETER'S HOSPITAL COLLEGE OF NURSING | 714 New Scotland Ave Rm 111, Albany, NY 12208-1715 |
| New York State Corporations | ST. PETER'S HOSPITAL FOUNDATION, INC. | 315 South Manning Boulevard, Albany, Ny 12208 |
| System for Award Management (SAM) Entities | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY | 315 S Manning Blvd, Albany, NY 12208-1707 |
| New York State Corporations | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY | 28 Liberty Street, New York, New York 10005 |
| Street Address |
1092 MADISON AVENUE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629470919 | St. Peter's Hospitalof The City of Albany | Dentist | 1092 Madison Avenue, Albany, NY 12208-2248 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053719302 | Leland Lamar Wince | Pediatrics | 8040 East Clifton Rd, Albany, IN 47320 | 2014-12-18 |
| 1609292697 | Kathleen Keating | Pediatrics | 1 Park Pl Ste 200, Albany, NY 12205-2676 | 2014-03-14 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1265750061 | Douglas Beaty Fair | Pediatrics | 540 Myrtle Ave, Albany, NY 12208-3303 | 2010-05-04 |
| 1962732735 | Debra Blog | Pediatrics | Bureau of Immunization New York State Dept Ofhealth, Empire State Plaza, Corning Tower, Room 649, Albany, NY 12237-0001 | 2009-12-30 |
| 1184825101 | Shirley K Catron M D Psc | Pediatrics | 701 Burkesville Rd, Albany, KY 42602-1654 | 2007-05-29 |
| 1902984784 | Donald N. Mangravite | Pediatrics | 1114 Curtis St, Albany, CA 94706-2421 | 2006-11-01 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| 1861409435 | Cajsa Jane Schumacher | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-03 |
| Find all providers in ALBANY | ||||
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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.