ROBERT BLAKELY BRISTOW (NPI# 1790710184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790710184 |
| Entity Type | Individual |
| Full Name | ROBERT BLAKELY BRISTOW |
| Credential | MD |
| Practice Address |
622 W 168 St Ph 1 137 Columbia University Med Center New York NY 10032-3784 |
| Mailing Address |
622 W 168 St Ph 1 137 Associates In Emergency Services Cumc New York NY 10032-3784 |
| Practice Telephone | 2123052995 |
| Practice Fax Number | 2123056792 |
| Mailing Telephone | 2123052995 |
| Mailing Fax Number | 2123056792 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-10-02 |
| NPI Deactivation Date | 07/19/2006 |
| NPI Reactivation Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 200934 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01754934 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974891 | Robert David Bristow | Licensed Vocational Nurse | 117 Private Road 616, Beckville, TX 75631-6806 | 2020-05-20 |
| 1154365930 | Robert John Bristow | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-15 |
| 1427016039 | Robert E. Bristow | Obstetrics & Gynecology | 101 The City Drive South, Orange, CA 92868 | 2006-05-03 |
| Street Address |
622 W 168 ST PH 1 137 COLUMBIA UNIVERSITY MED CENTER |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699708883 | Nicole Colette Bouchard | Emergency Medicine | 622 W 168 St Ph 1 137, Columbia University Med Center, New York, NY 10032-3784 | 2006-07-09 |
| 1801821293 | Richard Lee | Emergency Medicine | 622 W 168 St Ph 1 137, Associates In Emergency Services Cumc, New York, NY 10032-3784 | 2006-07-12 |
| 1346275732 | Robert Alan Green | Emergency Medicine | 622 W 168 St Ph 1 137, Associates In Emergency Services Cumc, New York, NY 10032-3784 | 2006-07-12 |
| 1255366647 | Barbara Ann Bowe | Internal Medicine | 622 W 168 St Ph 1 137, Associates In Emergency Services Cumc, New York, NY 10032-3784 | 2006-07-12 |
| 1609801091 | Heidi Pam Cordi | Emergency Medicine | 622 W 168 St Ph 1 137, Columbia University Med Center, New York, NY 10032-3784 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1588184113 | Elizabeth Boctor | Emergency Medicine | 1901, 1st Avenue, Metropolitan Hospital Center, Dept of Emergency Medicine, New York, NY 10029 | 2017-06-24 |
| 1598129389 | Allan So | Emergency Medicine | 622 W 168th St Ste Vc260, New York, NY 10032-3720 | 2016-04-08 |
| 1255718268 | Anjuli Cogman | Emergency Medicine | 176 Broadway Apt 3c, New York, NY 10038-2516 | 2015-04-28 |
| 1679967525 | Varun Katdare | Emergency Medicine | 1 Gustave L. Place, New York, NY 10029 | 2015-03-27 |
| 1750775979 | Gregory Fernandez | Emergency Medicine | 1 Gustave L. Place, Box 1149, New York, NY 10029 | 2015-03-25 |
| 1053713115 | Krishna Kanth Potluri | Emergency Medicine | 1901 1st Ave # 2a31, New York, NY 10029-7404 | 2014-09-20 |
| 1144635764 | David Attaway | Emergency Medicine | 27 Orchard St Apt 11, New York, NY 10002-6176 | 2014-06-23 |
| 1558781054 | Victoria Ron | Emergency Medicine | 313 W 47th St, Apt 1-w, New York, NY 10036-2407 | 2014-04-23 |
| Find all providers in NEW YORK | ||||
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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.