DR. LISLE A EATON JR. (NPI# 1750382131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750382131 |
| Entity Type | Individual |
| Full Name | DR. LISLE A EATON JR. |
| Credential | MD |
| Practice Address |
315 S Manning Blvd Sph Maplewood Pathology Albany NY 12208-1707 |
| Mailing Address |
Po Box 8870 Maplewood Pathology Albany NY 12208-0870 |
| Practice Telephone | 5185251474 |
| Mailing Telephone | 5185251474 |
| Mailing Fax Number | 5183891788 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
185466 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
315 S MANNING BLVD SPH MAPLEWOOD PATHOLOGY |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1720602493 | Capital District Pathology Associates Pllc | Pathology | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-05-29 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & 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: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology 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 |
|---|---|---|---|---|
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1891052056 | Andrea Ramirez Lightle | Pathology | 47 New Scotland Ave Rm F117, Albany, NY 12208 | 2012-04-12 |
| 1912234501 | Anthony Frank Isele | Pathology | 1913 Devon Dr, Albany, GA 31721-2986 | 2009-11-03 |
| 1083609259 | Tibor Gyorfi | Pathology | 1007 W 1st Ave, Albany, GA 31701-1715 | 2005-09-14 |
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1194387829 | Rupinder Kaur Brar | Pathology | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2019-07-02 |
| 1649699497 | Sungeun Kim | Pathology | 47 New Scotland Ave, Department of Pathology, Albany, NY 12208-3412 | 2014-04-09 |
| 1649512369 | Rania Shamekh | Pathology | 417 W 3rd Ave, Albany, GA 31701 | 2013-03-20 |
| 1467724146 | Community Care Physicians, PC | Pathology | 2 Clara Barton Dr, Suite 101, Albany, NY 12208-3472 | 2012-01-27 |
| 1366684813 | Chelsea Eryn Tooke-barry | Pathology | 315 S Manning Blvd, Albany, NY 12208-1707 | 2009-03-30 |
| Find all providers in ALBANY | ||||
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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.