AMY A SOUSSAN (NPI# 1841557154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841557154 |
| Entity Type | Individual |
| Full Name | AMY A SOUSSAN |
| Credential | M.D. |
| Practice Address |
396 Broadway Mid Hudson Physicians, PC Kingston NY 12401-4626 |
| Practice Telephone | 8453313131 |
| Practice Fax Number | 8453342898 |
| Mailing Telephone | 8453313131 |
| Mailing Fax Number | 8453342898 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60-282228 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
396 BROADWAY MID HUDSON PHYSICIANS, PC |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026653 | Harold E Gardner | Nurse Anesthetist, Certified Registered | 396 Broadway, Kingston, NY 12401-4626 | 2005-07-08 |
| 1144843111 | Vahe Matnishian | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-05-25 |
| 1093334351 | Brett Saltrick | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-04-15 |
| 1043877186 | Gaithe St Cyr | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2019-05-23 |
| 1972099646 | Michael Aaron Kurek | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-07-06 |
| 1366932907 | Marissa L Mertens | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-05-17 |
| 1053816215 | Gregory Joseph Nero | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2018-03-28 |
| 1649782129 | Candace Chelsea Chin | Pharmacist | 396 Broadway, Kingston, NY 12401-4626 | 2017-10-24 |
| 1609397512 | Lanny L Cleary | Nurse Practitioner | 396 Broadway, Kingston, NY 12401-4626 | 2017-06-30 |
| 1891239737 | Ashley Arzadon | Podiatrist | 396 Broadway, Kingston, NY 12401-4626 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1912423468 | Vintage Direct Primary Care | Family Medicine | 25985 Barbr Cutff Rd Ne Ste B1, Kingston, WA 98346-9596 | 2017-08-16 |
| 1063945798 | Danielle Isenburg | Family Medicine | 1240 Ulster Ave Ste 104, Kingston, NY 12401-1517 | 2017-04-10 |
| 1437546140 | Nedal Amin Elass | Family Medicine | 701 Highway 70 E, Kingston, OK 73439-8253 | 2015-04-20 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1033459680 | Health Quest Medical Practice | Family Medicine | 40 Hurley Ave Ste 18, Kingston, NY 12401-3738 | 2013-02-19 |
| 1295064178 | Lakeside Family Medicine | Family Medicine | 21 N. Main Street, Kingston, OK 73439-1798 | 2009-12-23 |
| 1871769125 | Ira Vohra | Family Medicine | 610 Wyoming Ave Ste 1, Kingston, PA 18704-3702 | 2008-05-07 |
| 1801067145 | Michael E Fath, D.o., P.c | Family Medicine | 618 Wyoming Ave, Kingston, PA 18704-3702 | 2008-03-14 |
| 1275702961 | Baptist Healthcare of Oklahoma | Family Medicine | 700 S Muncrief At Hwy 70, Kingston, OK 73439-0762 | 2008-02-27 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on AMY A SOUSSAN.
| 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.