TERESA V DOMBEK-LANG (NPI# 1699771295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699771295 |
| Entity Type | Individual |
| Full Name | TERESA V DOMBEK-LANG |
| Other Name | TERESA V DOMBEKLANG |
| Credential | M.D. |
| Practice Address |
77 W. Barney St. Gouverneur NY 13642 |
| Mailing Address |
4 Commerce Ln Canton NY 13617-3739 |
| Practice Telephone | 3152874440 |
| Practice Fax Number | 3152871858 |
| Mailing Telephone | 3153868191 |
| Mailing Fax Number | 3153861410 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 243016 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02392854 | 05 | |
| NY | 01995615 | 05 |
| Street Address |
77 W. BARNEY ST. |
| City | GOUVERNEUR |
| State | NY |
| Zip Code | 13642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689872566 | Rachel I Raven | Licensed Practical Nurse | 77 W. Barney St., Gouverneur, NY 13642 | 2007-07-03 |
| 1073697694 | Katharine M Matthis | Family Medicine | 77 W. Barney St., Gouverneur, NY 13642 | 2006-10-24 |
| 1982644019 | George M Dodds I | Internal Medicine | 77 W. Barney St., Gouverneur, NY 13642 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737933 | Heather Miller | Technician | 52 Cambray St, Gouverneur, NY 13642 | 2019-08-30 |
| 1295184554 | Payam Hadian | Family Medicine | 77 W Barney Street, Family Practice, Gouverneur, NY 13642 | 2016-06-08 |
| 1447484894 | Danny Len Holmes | Licensed Practical Nurse | 289 County Route #11, Gouverneur, NY 13642 | 2009-05-13 |
| 1235386657 | Alexander Edward Kuehl | Emergency Medicine | 95 Rock Island, Gouverneur, NY 13642 | 2008-08-27 |
| 1639228083 | Michael F Lapierre Pt | Physical Therapist | 173 East Main Street, Gouverneur, NY 13642 | 2007-01-08 |
| 1386748416 | Abdur R Jalazai Md PC | Internal Medicine | 63 West Barney St, Gouverneur, NY 13642 | 2006-09-11 |
| 1023052966 | Donell Jean Wright | Chiropractor | 137 E. Main Street, Suite 5, Gouverneur, NY 13642 | 2006-06-14 |
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1629409925 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-12 |
| 1245536788 | Peggy Leigh Baker | Social Worker | 77 W Barney St, Gouverneur, NY 13642 | 2011-02-01 |
| Find all providers in zip 13642 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497095707 | Tahir M Anwar | Family Medicine | 77 West Barney Street, Gouverneur, NY 13617-1040 | 2013-02-22 |
| 1194945410 | Timothy W. Moon,do, Pllc | Family Medicine | 77 W Barney St, Gouverneur, NY 13642-1040 | 2007-04-27 |
| 1861525909 | Nadhia Celestin | Family Medicine | 77 W Barney St, Gouverneur, NY 13642-1040 | 2007-03-14 |
| 1073697694 | Katharine M Matthis | Family Medicine | 77 W. Barney St., Gouverneur, NY 13642 | 2006-10-24 |
| 1215957832 | Timothy W Moon | Family Medicine | 173 E Main St, Gouverneur, NY 13642-1510 | 2006-07-19 |
| 1487642138 | Gerald L Calabrese | Family Medicine | 77 W Barney St, Gouverneur, NY 13642-1040 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | GOUVERNEUR |
| Zip Code | 13642 |
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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.