DR. CHARLES JACOB STOUDENMIRE (NPI# 1750725099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750725099 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JACOB STOUDENMIRE |
| Credential | M.D. |
| Practice Address |
507 W 3rd Ave Ste 7 Albany GA 31701 |
| Mailing Address |
507 W 3rd Ave Ste 7 Albany GA 31701-1944 |
| Practice Telephone | 6153434882 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
079906 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
507 W 3RD AVE STE 7 |
| City | ALBANY |
| State | GA |
| Zip Code | 31701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| 1336378280 | Monique L Moseley | Nurse Practitioner | 806 14th Avenue, Suite C, Albany, GA 31701 | 2009-07-13 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1750382131 | Lisle A Eaton Jr. | Pathology | 315 S Manning Blvd, Sph Maplewood Pathology, Albany, NY 12208-1707 | 2005-08-09 |
| 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 | ||||
Please comment or provide details below to improve the information on DR. CHARLES JACOB STOUDENMIRE.
| 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.