DR. STEVEN MARK FOGELMAN (NPI# 1821137712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821137712 |
| Entity Type | Individual |
| Full Name | DR. STEVEN MARK FOGELMAN |
| Credential | M.D. |
| Practice Address |
801 Cypress St Rome NY 13440-2129 |
| Practice Telephone | 3153396536 |
| Practice Fax Number | 3153398089 |
| Mailing Telephone | 3153396536 |
| Mailing Fax Number | 3153398089 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
213561 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01953882 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456009 | Steven Fogelman | Counselor | 611 Siskiyou Blvd, Suite 8, Ashland, OR 97520-2151 | 2008-08-08 |
| Street Address |
801 CYPRESS ST |
| City | ROME |
| State | NY |
| Zip Code | 13440-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285685990 | James P. Brognano | Dentist | 801 Cypress St, Rome, NY 13440-2129 | 2006-05-15 |
| 1801258744 | Ronald Barnett | Physical Therapy Assistant | 801 Cypress St, Rome, NY 13440-2129 | 2016-03-21 |
| 1942588124 | Megan R Otis | Physical Therapist | 801 Cypress St, Rome, NY 13440-2129 | 2011-07-22 |
| 1376855189 | Rose Farewege | Speech-Language Pathologist | 801 Cypress St, Rome, NY 13440-2129 | 2010-07-09 |
| 1114257086 | Michael Reinold | Nutritionist | 801 Cypress St, Rome, NY 13440-2129 | 2009-12-28 |
| 1760631451 | Ucp Assoc of Nys | Clinic/Center | 801 Cypress St, Rome, NY 13440-2129 | 2008-09-17 |
| 1407058043 | Tammy Lynn Schmalz | Religious Nonmedical Nursing Personnel | 801 Cypress St, Rome, NY 13440-2129 | 2007-06-05 |
| 1790987659 | Catherine Margaret Taffner | Dental Hygienist | 801 Cypress St, Rome, NY 13440-2129 | 2007-06-04 |
| 1003018953 | Eleanor Ann Spanek | Dental Hygienist | 801 Cypress St, Rome, NY 13440-2129 | 2007-06-04 |
| 1285836122 | Diane Lynne Burr | Dental Hygienist | 801 Cypress St, Rome, NY 13440-2129 | 2007-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134360183 | Southeastern Independent Psychiatry, PC | Psychiatry & Neurology | 17 Oneill St Sw, Rome, GA 30161-6023 | 2009-03-19 |
| 1447426200 | Gordon Behavioral Sciences P.C. | Psychiatry & Neurology | 109 John Maddox Dr Nw, Rome, GA 30165-1451 | 2008-05-01 |
| 1295850105 | Ronald Thesee | Psychiatry & Neurology | 195 - 199 W. Dominick St., Rome, NY 13440-5855 | 2007-03-20 |
| 1942324116 | Ananadavalli Menon | Psychiatry & Neurology | 195-199 W. Dominick St., Rome, NY 13440-5855 | 2007-03-16 |
| 1124170097 | Quresh Z Bandukwala | Psychiatry & Neurology | 314 Shorter Ave Nw, Suite100, Rome, GA 30165-4268 | 2007-01-18 |
| 1710040100 | Vibhakar R Patel | Psychiatry & Neurology | 305 W 5th St, Rome, GA 30165 | 2006-12-18 |
| 1528003068 | Florica Ochotorena-acosta | Psychiatry & Neurology | 117 West Liberty St, Rome, NY 13440 | 2006-06-18 |
| 1063498913 | Joseph K Seal | Psychiatry & Neurology | 1 Woodbine Ave Nw, Rome, GA 30165-2397 | 2005-12-21 |
| 1093855934 | Angela K Dawson | Psychiatry & Neurology | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2007-02-08 |
| 1871658906 | Smita Upkar Varshney | Psychiatry & Neurology | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-12-27 |
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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.