SPHPMA CRUS UROLOGY


Address: 4 Executive Park Dr, Albany, NY 12203-3718
Phone: 5184897494

SPHPMA CRUS UROLOGY (NPI# 1831529098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831529098
Entity Type Organization
Organization Name SPHPMA CRUS UROLOGY
Practice Address 4 Executive Park Dr
Albany
NY 12203-3718
Practice Telephone 5184897494
Practice Fax Number 5184897641
Mailing Telephone 5184897494
Mailing Fax Number 5184897641
Enumeration Date 2013-11-25
Last Update Date 2013-11-25
Authorized Official Name PAUL GORDON (CFO)
Authorized Official Telephone 5185251585
Is Organization Subpart Y
Parent Organization Name ST. PETERS HEALTH PARTNERS MEDICAL ASSCOIATES PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Office Location

Street Address 4 EXECUTIVE PARK DR
City ALBANY
State NY
Zip Code 12203-3718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154314805 Thomas F. Fashouer Specialist/Technologist 4 Executive Park Dr, Albany Physical Therapy, Albany, NY 12203-3718 2005-08-29
1578045258 Juwon Park Dmd PC Dentist 4 Executive Park Dr, Albany, NY 12203-3718 2018-08-30
1265936496 Purificato Physical Therapy Pllc Clinic/Center 4 Executive Park Dr, Albany, NY 12203-3718 2018-03-21
1649799636 James Nalbone, Md Pllc Psychiatry & Neurology 4 Executive Park Dr, Albany, NY 12203-3718 2017-09-12
1962883595 Terence Hoyt Counselor 4 Executive Park Dr, Ste 201, Albany, NY 12203-3718 2015-06-09
1184979171 Capital Region Urological Surgeons Specialist 4 Executive Park Dr, Albany, NY 12203-3718 2012-07-17
1164781837 Phrances Blay Hinch Nurse Practitioner 4 Executive Park Dr, Albany, NY 12203-3718 2012-05-15
1942529631 Subrata Mukherjee Dentist 4 Executive Park Dr, Albany, NY 12203-3718 2010-05-20
1720300296 Andrea Berkowitz Lcsw Social Worker 4 Executive Park Dr, Albany, NY 12203-3718 2010-02-24
1902031107 Thelma Costello Ms Lmhc PC Community/Behavioral Health 4 Executive Park Dr, 2nd Flr, Albany, NY 12203-3718 2009-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720695885 Claire Ellen Williams Student in an Organized Health Care Education/Training Program Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 2020-09-23
1912551425 Samaritan Hospital of Troy, New York Nurse Practitioner 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 2019-08-01
1205365640 Esther Pearl Jackson Counselor 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 2017-06-08
1558899591 Diane Marie Wyatt Social Worker 1044 Western Ave, Albany, NY 12203 2017-06-02
1366980419 Lessie Lynette Johnson Social Worker 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 2017-02-09
1588108617 Theresa Viola Dicroce Physical Therapy Assistant One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 2016-12-08
1366813818 Eileen Nancy Nagy Audiologist 14 Columbia Circle, Suite 202, Albany, NY 12203 2015-10-09
1609242197 Jaclyn Whitman Specialist 230 Washington Ave Extention, Albany, NY 12203 2015-08-19
1447657457 Joyce Yvette Dewitt-parker Psychologist 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 2014-11-20
1023357373 Meredith Gaucher Physical Therapist 1971 Western Ave Ste 100, Albany, NY 12203 2013-02-06
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235525916 William Kelvin Lane Urology 2009 Palmyra Rd, Albany, GA 31701-1576 2015-04-09
1962586776 Mark White Urology The Urological Institute of Northeastern New York, South Clinical Campus, 23 Hackett Blvd., Albany, NY 12208 2006-10-25
1225118284 Hugh Fisher Urology South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 2006-10-16
1174625693 Keith A Schulze Urology 400 Hickory St Nw Ste 200, Albany, OR 97321-1700 2006-09-04
1497790430 Martin S Engelstein Urology 4 Executive Park, Albany, NY 12203-3718 2006-06-16
1912967241 Donald Joseph Rivard Urology 25 Hackett Blvd, Division of Urology (mc 208), Albany, NY 12208-3420 2006-03-23
1811964430 Barry A Shuman Urology 63 Shaker Rd Suite 202, Albany Memorial Professional Bldg, Albany, NY 12204-1030 2006-03-02
1932175924 Sophia Drinis Urology 400 Hickory St Nw, Suite 200, Albany, OR 97321-1700 2006-02-28
1811983711 Carl Robert Hall Urology 920 8th Ave Sw, Albany, OR 97321-2407 2005-09-26
1467447938 Michael D. Daugherty Urology 2400 Osler Ct, Albany, GA 31707 2005-09-12
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Competitor

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City ALBANY
Zip Code 12203

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Dataset Information

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.

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