DR. ROGER ISHAC (NPI# 1902981871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902981871 |
| Entity Type | Individual |
| Full Name | DR. ROGER ISHAC |
| Credential | MD |
| Practice Address |
75 Beekman St. Cvph Cardiology Plattsburgh NY 12901 |
| Practice Telephone | 5185632404 |
| Mailing Telephone | 5185632404 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD429478 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
241066 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
042.0013217 | VT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT189586 | PA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA MEDICAL LICENSE | MD429478 | 01 |
| PA | PA LICENSING DEPARTMENT | MT189586 | 01 |
| Street Address |
75 BEEKMAN ST. CVPH CARDIOLOGY |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245598119 | Nicholas A. Aunchman | Emergency Medicine | 75 Beekman St., Uvm Health Network-cvph, Plattsburgh, NY 12901 | 2012-04-30 |
| 1144409301 | Vanessa J Staples | Registered Nurse | 75 Beekman St., Plattsburgh, NY 12901 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114970118 | Lake Champlain Cardiology Associates | Internal Medicine | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | 2006-05-18 |
| 1063409282 | Nidal Makhoul | Internal Medicine | 52 Tom Miller Road, Plattsburgh, NY 12901-1252 | 2005-10-03 |
| 1326041989 | Timothy Joel Garrand | Internal Medicine | 210 Cornelia St, Ste 101, Plattsburgh, NY 12901-2318 | 2005-05-27 |
| 1083915268 | Lake Champlain Physician Services | Internal Medicine | 210 Cornelia St, Suite 303, Plattsburgh, NY 12901-2318 | 2010-11-04 |
| 1235283482 | Eric A Gauthier | Internal Medicine | 210 Cornelia St, Suite 101, Plattsburgh, NY 12901-2318 | 2007-01-23 |
| 1588677611 | David Lawrence Sable | Internal Medicine | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | 2006-08-13 |
| 1144232273 | John Drayton Baker | Internal Medicine | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | 2006-08-13 |
| 1902819030 | Brent Wood Hastings | Internal Medicine | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | 2006-08-13 |
| 1720091861 | Joel Marc Wolkowicz | Internal Medicine | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | 2006-08-13 |
| 1184637233 | Christopher Scott Palma | Internal Medicine | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | 2006-08-13 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
Please comment or provide details below to improve the information on DR. ROGER ISHAC.
| 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.