MS. TRACY DEE AMSDEN (NPI# 1861509531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861509531 |
Entity Type | Individual |
Full Name | MS. TRACY DEE AMSDEN |
Credential | RPA-C |
Practice Address |
1365 Washington Ave Ste 300 Albany NY 12206-1098 |
Mailing Address |
1365 Washington Ave Albany NY 12206-1068 |
Practice Telephone | 5184894704 |
Practice Fax Number | 5184890512 |
Mailing Telephone | 5184894704 |
Mailing Fax Number | 5184890512 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2008-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
005019 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02916705 | 05 |
Street Address |
1365 WASHINGTON AVE STE 300 |
City | ALBANY |
State | NY |
Zip Code | 12206-1098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952743262 | Alysaa Ashley Phyars | Podiatrist | 1365 Washington Ave Ste 300, Albany, NY 12206-1098 | 2013-07-28 |
1518100403 | Rebecca Ellwood | Physician Assistant | 1365 Washington Ave Ste 300, Albany, NY 12206-1098 | 2009-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
Find all providers in zip 12206 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912486747 | Karen Duane | Physician Assistant | 48 New Scotland Ave, Albany, NY 12208 | 2018-08-13 |
1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
1356722714 | Megan Weitzel | Physician Assistant | 50 New Scotland Ave # Mc-190, Albany, NY 12208-3403 | 2015-06-11 |
1063899847 | Philip Rabadi | Physician Assistant | 27 Westlyn Ct, Albany, NY 12203-3463 | 2015-04-30 |
1467885459 | Heather Freeman | Physician Assistant | 1980 Western Ave, Apt 731, Albany, NY 12203-5051 | 2013-08-14 |
1124015748 | Dan C West | Physician Assistant | 605 N Westover Blvd, Albany, GA 31707-2188 | 2005-09-29 |
1750378329 | Sheri B Smith | Physician Assistant | 2311 Lake Park Drive, Albany, GA 31707 | 2005-09-29 |
1942816368 | Brian D Klassner | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-09-21 |
1114535077 | Jonathan Stephens | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-07-16 |
1437776580 | Ambre Patrice Mcneal | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-07-05 |
Find all providers in ALBANY |
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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.