MARIA THEODOULOU (NPI# 1720174055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720174055 |
Entity Type | Individual |
Full Name | MARIA THEODOULOU |
Credential | MD |
Practice Address |
400 Patroon Creek Blvd Suite 1 Albany NY 12206-5013 |
Practice Telephone | 5184890044 |
Practice Fax Number | 5184893591 |
Mailing Telephone | 5184890044 |
Mailing Fax Number | 5184893591 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2019-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
183499 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03577891 | 05 |
Street Address |
400 PATROON CREEK BLVD SUITE 1 |
City | ALBANY |
State | NY |
Zip Code | 12206-5013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881691053 | Siobhan Kuhar | Otolaryngology | 400 Patroon Creek Blvd, Suite 205, Albany, NY 12206-5013 | 2005-07-03 |
1083168603 | St. Peter's Health Partners Medical Associates, PC | Emergency Medicine | 400 Patroon Creek Blvd, Suite 100, Albany, NY 12206-5013 | 2016-08-11 |
1386010056 | Dara Kelly | Audiologist | 400 Patroon Creek Blvd, Suite 205, Albany, NY 12206-5013 | 2015-08-18 |
1457737280 | Amanda Dipierro | Nurse Practitioner | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2015-08-04 |
1548674278 | Randi Daniels | Nurse Practitioner | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2014-06-20 |
1285047423 | Albany Advanced Imaging Pllc | Radiology | 400 Patroon Creek Blvd, Suite 100, Albany, NY 12206-5013 | 2014-06-05 |
1285047746 | Robert Freeman | Family Medicine | 400 Patroon Creek Blvd, Albany, NY 12206-5013 | 2014-06-03 |
1952720476 | Albany Medical College | Psychiatry & Neurology | 400 Patroon Creek Blvd, Suite 210, Albany, NY 12206-5013 | 2014-04-11 |
1144648817 | Mary Ellen Rinaldi | Pharmacist | 400 Patroon Creek Blvd, Suite 200, Albany, NY 12206-5013 | 2014-03-31 |
1326466244 | New York Oncology Hematology PC | Non-Pharmacy Dispensing Site | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2014-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
Find all providers in zip 12206 |
Taxonomy Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780856971 | Stephen Henry Wrzesinski | Internal Medicine | 43 New Scotland Ave # 7, Albany, NY 12208-3412 | 2008-03-27 |
1487625158 | David R Shaffer | Internal Medicine | 43 New Scotland Ave, Mail Code 7, Albany, NY 12208-3412 | 2006-01-30 |
1316934045 | John Ferraro | Internal Medicine | 43 New Scotland Ave, Mc 7, Albany, NY 12208-3412 | 2005-09-27 |
1972599686 | John Caracandas | Internal Medicine | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5004 | 2005-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770112427 | Health Quest Medical Practice, PC | Internal Medicine | 6511 Spring Brook Ave Ste 1006, Rhinebeck, NY 12572-3709 | 2020-04-05 |
1306474226 | Health Quest Medical Practice, PC | Internal Medicine | 1240 Ulster Ave-medical Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
1033534268 | Montefiore New Rochelle Hospital | Internal Medicine | 26 Washington Avenue, New Rochelle, NY 10801 | 2014-02-25 |
1710327721 | Jarushka Naidoo | Internal Medicine | 475 Main St Apt 2l, Roosevelt Island, New York, NY 10044-0084 | 2013-07-05 |
1457617771 | Wungki Park | Internal Medicine | 300 E 66th St Ofc 10065, New York, NY 10065-6800 | 2012-04-11 |
1538449392 | Mahendra Manilal Shah | Internal Medicine | 59 Donald Dr, Hastings On Hudson, NY 10706-3623 | 2011-08-25 |
1659609931 | Alexei Morozov | Internal Medicine | 1275 York Ave # 8, New York, NY 10065-6007 | 2009-11-25 |
1548496326 | Maria J Nieto | Internal Medicine | 1 Gustave L Levy Pl # 1410, New York, NY 10029-6500 | 2009-06-07 |
1538307665 | Jerome William Yates | Internal Medicine | 240 Independence Dr, Orchard Park, NY 14127-3430 | 2009-01-28 |
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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.