DR. MICHAEL THOMAS DIRUSSO (NPI# 1700023868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700023868 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THOMAS DIRUSSO |
| Credential | D.O. |
| Practice Address |
1201 Nott St Suite203 Schenectady NY 12308-2589 |
| Mailing Address |
62 Hackett Blvd Albany NY 12209-1756 |
| Practice Telephone | 5183744207 |
| Practice Fax Number | 5183744371 |
| Mailing Telephone | 5184342244 |
| Mailing Fax Number | 5184344659 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2015-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
261550 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1201 NOTT ST SUITE203 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12308-2589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526925 | Akula V Krishna | Surgery | 1201 Nott St, Ste 306, Schenectady, NY 12308-2589 | 2005-05-24 |
| 1184167462 | Kellie Mann | Nurse Anesthetist, Certified Registered | 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 | 2016-11-18 |
| 1134578404 | Erika Spadafora | Registered Nurse | 1201 Nott St, Ste 102, Schenectady, NY 12308-2589 | 2016-06-08 |
| 1124492616 | Danielle Redmond | Nurse Anesthetist, Certified Registered | 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 | 2015-11-20 |
| 1427454768 | Kelly Barney | Nurse Anesthetist, Certified Registered | 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 | 2014-11-14 |
| 1770922130 | Schenectady Eye Surgery Associates, Pllc | Ophthalmology | 1201 Nott St, Ste. 105, Schenectady, NY 12308-2589 | 2013-06-19 |
| 1104181759 | Katherine Kauh | Surgery | 1201 Nott St, Suite 104, Schenectady, NY 12308-2589 | 2012-07-10 |
| 1205192598 | Saratoga Schenectady Gastroenterology Associates, P.C. | Internal Medicine | 1201 Nott St, Suite 207, Schenectady, NY 12308-2589 | 2012-04-11 |
| 1861758203 | Ryan Guay | Anesthesiology | 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 | 2012-04-10 |
| 1265708952 | Iftikhar A. Syed, M.d., F.a.c.s., P.C. | Specialist | 1201 Nott St, Suite 104, Schenectady, NY 12308-2589 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004125 | Mary C O'brien | Registered Nurse | 90 Elmer Ave, Schenectady, NY 12308 | 2011-12-21 |
| 1114203882 | Gina R Davenport | Speech-Language Pathologist | Zoller Elementary School, 1180 Lancaster Street, Schenectady, NY 12308 | 2011-10-26 |
| 1831472315 | Laura A Denofio | Social Worker | 1445 The Plaza, Schenectady, NY 12308 | 2011-09-21 |
| 1023328440 | Anthony G. Cortese | Social Worker | 1362 Union Street, Schenectady, NY 12308 | 2010-10-19 |
| 1205142288 | Jessica Lee Schoen | Pharmacist | 461 Nott Street, Schenectady, NY 12308 | 2010-08-27 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1316274194 | Helping Hands Nurse Staffing Services, LLC | Nursing Care | 2180 Avenue B, Schenectady, NY 12308 | 2009-11-16 |
| 1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
| 1891973459 | Anthony Joseph De Palma Sr. | Dentist | 1351 Union Street, Schenectady, NY 12308 | 2008-02-06 |
| 1447464029 | Lauren Weisberg Savage | Social Worker | 1411 Union Street, Schen, NY 12308 | 2007-05-10 |
| Find all providers in zip 12308 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912289992 | Community Care Physicians, PC | Internal Medicine | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2011-09-15 |
| 1962590158 | Venkateswarar Voleti | Internal Medicine | 700 Mcclellan St, St. Clare's Medical Arts Bldg, Suite103, Schenectady, NY 12304-1019 | 2006-10-11 |
| 1669415501 | Jonathan Samuel Waldman | Internal Medicine | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-06-14 |
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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 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12308 |
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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.