MICHAEL TEDFORD MD LLC (NPI# 1689856395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689856395 |
| Entity Type | Organization |
| Organization Name | MICHAEL TEDFORD MD LLC |
| Practice Address |
254 Route 17k Ste 204 Newburgh NY 12550 |
| Mailing Address |
254 Route 17k Ste 204 Newburgh NY 12550-8300 |
| Practice Telephone | 8455614466 |
| Practice Fax Number | 8455617190 |
| Mailing Telephone | 8455614466 |
| Mailing Fax Number | 8455617190 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | DR. MICHAEL GEORGE TEDFORD (OWNER) |
| Authorized Official Telephone | 8455614466 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 203269 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01899169 | 05 |
| Street Address |
254 ROUTE 17K STE 204 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689785156 | Phyllis Young | Physician Assistant | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2006-08-31 |
| 1205146800 | Whole Life Center, Inc | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2010-10-15 |
| 1508171067 | Carol Ann Malizia, Dc PC | Chiropractor | 254 Route 17k, Suite 304, Newburgh, NY 12550-8343 | 2010-08-09 |
| 1679805394 | Suzanne Kayle Tamlyn | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2010-02-04 |
| 1669708673 | Carli Anne Curtiss | Massage Therapist | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2009-10-26 |
| 1346499480 | Amy Cutter | Massage Therapist | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2008-09-12 |
| 1568686756 | Chad Weinstein | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2007-04-12 |
| 1992728695 | Carol Ann Malizia | Chiropractor | 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750453742 | Michael G Tedford I | Ophthalmology | 254 Route 17k Ste 204, Newburgh, NY 12550 | 2006-11-14 |
| 1932178977 | Hugh Edward Mcgee | Ophthalmology | 1 Maguire Way, Stewart Angb, Newburgh, NY 12550-5042 | 2006-03-14 |
| 1326036823 | David Alan Goldfarb | Ophthalmology | 313 Fullerton Ave, Newburgh, NY 12550-3723 | 2005-10-10 |
| 1912994328 | Glenn J Green | Ophthalmology | 450 Gidney Ave, Newburgh, NY 12550-3116 | 2005-09-30 |
| 1619174554 | Larry Koreen | Ophthalmology | 450 Gidney Ave, Newburgh, NY 12550-3116 | 2007-07-02 |
| 1104975986 | Newburgh Eye Associates Physicians & Surgeons, PC | Ophthalmology | 313 Fullerton Ave, Newburgh, NY 12550-3723 | 2007-01-09 |
| 1538237706 | Andrew W Tharp | Ophthalmology | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
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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.