CAPITAL DISTRICT PATHOLOGY ASSOCIATES PLLC (NPI# 1720602493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720602493 |
| Entity Type | Organization |
| Organization Name | CAPITAL DISTRICT PATHOLOGY ASSOCIATES PLLC |
| Practice Address |
315 S Manning Blvd Albany NY 12208-1707 |
| Mailing Address |
Po Box 1818 Latham NY 12110-0119 |
| Practice Telephone | 5185251477 |
| Practice Fax Number | 5185256750 |
| Mailing Telephone | 5185251479 |
| Mailing Fax Number | 5185256750 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | PATRICIA BELAIR (MEMBER) |
| Authorized Official Telephone | 5185251479 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Burdett Ave, Troy, NY 121802466 | 5183267533 | 5185887257 |
| 600 Northern Blvd, Albany, NY 122041004 | 5185251474 | 5185256750 |
| Street Address |
315 S MANNING BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382131 | Lisle A Eaton Jr. | Pathology | 315 S Manning Blvd, Sph Maplewood Pathology, Albany, NY 12208-1707 | 2005-08-09 |
| 1962002071 | Stephen M Chamberlin | Pharmacist | 315 S Manning Blvd, Albany, NY 12208-1789 | 2020-10-28 |
| 1528675576 | Rebecca Sanders | Social Worker | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-09-24 |
| 1801406830 | Nicola Katherine Rizzo | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-08-04 |
| 1972111854 | Amy Vanamburgh | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-07-16 |
| 1518582089 | Aktham Jay Adams | Student in an Organized Health Care Education/Training Program | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-06-10 |
| 1194346718 | Brittany Nora Center | Registered Nurse | 315 S Manning Blvd, Albany, NY 12208-1789 | 2020-05-05 |
| 1790306579 | Katherine Rose Hiles | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-05-03 |
| 1972134005 | Sarah Beth Eldredge | Physical Therapist | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-01-28 |
| 1942841986 | John Charles Egan IIi | Physician Assistant | 315 S Manning Blvd, Albany, NY 12208-1789 | 2019-10-01 |
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| 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 | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912376633 | Icahn School of Medicine At Mount Sinai | Pathology | 16 Street At 1st Avenue, New York, NY 10003 | 2015-09-23 |
| 1740520238 | Alexander Ramon | Pathology | 29 Joralemon St, Brooklyn, NY 11201-4003 | 2013-02-21 |
| 1497068944 | Thomas Gene Lightfoot | Pathology | 825 John Street, West Henrietta, NY 14586 | 2010-07-26 |
| 1750521019 | Scott Duong | Pathology | 10 Nevada Drive, North Shore Lij Laboratories, Lake Success, NY 11042 | 2009-02-26 |
| 1962660191 | Suzanne A Arinsburg | Pathology | 435 E 70th St Apt 18b, New York, NY 10021-5345 | 2008-05-23 |
| 1386844835 | Lauren A Mcvoy | Pathology | 550 1st Avenue, Nyu Medical Center, New York, NY 10016 | 2007-07-23 |
| 1245882182 | Adila Nathu | Pathology | 46 3rd St, Waterford, NY 12188-2455 | 2019-07-11 |
| 1487121406 | Mount Sinai School of Medicine | Pathology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-10-29 |
| 1134622152 | Elmhurst Gastroenterology and Endoscopy, PC | Pathology | 7911 41st Ave, Elmhurst, NY 11373-1258 | 2018-03-15 |
| 1396250635 | Li Liu | Pathology | 601 Elmwood Avenue, University of Rochester Medical Center, Rochester, NY 14642-0001 | 2017-12-08 |
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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.