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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
Street Address |
4 EXECUTIVE PARK DR |
City | ALBANY |
State | NY |
Zip Code | 12203-3718 |
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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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 Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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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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.