KENESSA B EDWARDS (NPI# 1871882795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871882795 |
| Entity Type | Individual |
| Full Name | KENESSA B EDWARDS |
| Credential | MD |
| Practice Address |
70 Dubois Street St. Lukes Hospital Newburgh NY 12550 |
| Mailing Address |
2 Catharine Street, P.o. Box 550 Mid-hudson Anesthesiologists, PC Poughkeepsie NY 12602 |
| Practice Telephone | 8455614400 |
| Practice Fax Number | 5853683219 |
| Mailing Telephone | 8668852318 |
| Mailing Fax Number | 8457902675 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 273126-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
273126-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
273126 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04501364 | 05 |
| Street Address |
70 DUBOIS STREET ST. LUKES HOSPITAL |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659332534 | Mattie D Moore | Registered Nurse | 70 Dubois Street, St. Lukes/cornwall Hospital, Newburgh, NY 12550 | 2006-03-30 |
| 1053748699 | Jennifer L Vazquez | Registered Nurse | 70 Dubois Street, St Lukes Hospital, Newburgh, NY 12550 | 2013-09-27 |
| 1417381104 | Xiumin Hu | Nurse Practitioner | 70 Dubois Street, St Lukes Hospital, Newburgh, NY 12550 | 2013-08-29 |
| 1558701227 | Tania A Cossio | Anesthesiology | 70 Dubois Street, St. Luke's Hospital, Newburgh, NY 12550 | 2013-06-26 |
| 1669721023 | Abbie L Jungermann | Nurse Anesthetist, Certified Registered | 70 Dubois Street, St Lukes/ Cornwall Hospital, Newburgh, NY 12550 | 2012-08-31 |
| 1417247420 | Kola James Afolabi | Anesthesiology | 70 Dubois Street, St. Lukes/cornwall Hospital, Newburgh, NY 12550 | 2011-04-11 |
| 1801115076 | Arun Uthayashankar | Anesthesiology | 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 | 2010-05-26 |
| 1023241908 | Dorothy A Weiss | Nurse Anesthetist, Certified Registered | 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550 | 2009-08-26 |
| 1316170269 | Yana Krmic | Registered Nurse | 70 Dubois Street, St. Lukes/cornwall Hospital, Newburgh, NY 12550 | 2009-08-26 |
| 1124256656 | Kenneth W Martin | Nurse Anesthetist, Certified Registered | 70 Dubois Street, Mid-hudson Anesthesiologists, PC, Newburgh, NY 12550 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699312900 | Dg Pain Management PC | Anesthesiology | 280 Broadway Ste 2, Newburgh, NY 12550-8203 | 2019-12-05 |
| 1750316824 | Ramesh Kumar Damacharla | Anesthesiology | 70 Dubois St, St. Lukes Hospital, Newburgh, NY 12550-4851 | 2006-07-11 |
| 1003892035 | Sridhar Bhaskara | Anesthesiology | 4099 Gateway Blvd, Newburgh, IN 47630-8947 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1497374250 | Stanley Ikezi, Md PC | Anesthesiology | 188 18 Linden Blvd, Saint Albans, NY 11412-4028 | 2020-04-13 |
| 1417595224 | Regenerative Pain Center of Nj & Ny | Anesthesiology | 119 W 57th St Ste 717, New York, NY 10019-2302 | 2019-12-12 |
| 1790322477 | Bay Ridge Medical Care Pllc | Anesthesiology | 370 Bay Ridge Pkwy Lowr Level, Brooklyn, NY 11209-3176 | 2019-12-02 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1467010751 | Health Quest Medical Practice, PC | Anesthesiology | 665 Stoneleigh Ave Ste 205, Carmel, NY 10512-4625 | 2019-05-31 |
| 1619531910 | Aristide Burducea, D.o LLC | Anesthesiology | 21925 Peck Ave, Queens Village, NY 11427-1121 | 2019-04-23 |
| 1013470277 | Bryant Park Ambulatory Medical Care PC | Anesthesiology | 36 W 44th St Ste 914, New York, NY 10036-8104 | 2019-04-12 |
| 1043785181 | Spine and Pain Consultant, Pllc | Anesthesiology | 860 5th Ave Ste 1b, New York, NY 10065-5856 | 2018-10-04 |
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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.