DR. PAUL JACK DER MESROPIAN


Address: 113 Holland Ave, Albany Stratton Va - Division of Nephrology, Albany, NY 12208-3410
Phone: 5186265000

DR. PAUL JACK DER MESROPIAN (NPI# 1912141979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912141979
Entity Type Individual
Full Name DR. PAUL JACK DER MESROPIAN
Credential D.O.
Practice Address 113 Holland Ave
Albany Stratton Va - Division of Nephrology
Albany
NY 12208-3410
Practice Telephone 5186265000
Mailing Telephone 5186265000
Enumeration Date 2009-04-21
Last Update Date 2016-05-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
270579 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 113 HOLLAND AVE
ALBANY STRATTON VA - DIVISION OF NEPHROLOGY
City ALBANY
State NY
Zip Code 12208-3410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063418895 Walter Clinton Rockenstire IIi Nurse Practitioner 113 Holland Ave, Albany, NY 12208-3410 2005-06-27
1922622976 Alice Jou Student in an Organized Health Care Education/Training Program 113 Holland Ave, Albany, NY 12208-3410 2020-06-05
1356964217 Katherine Jane Orioli Student in an Organized Health Care Education/Training Program 113 Holland Ave, Albany, NY 12208-3410 2020-05-26
1871133686 Michael John Hayes Registered Nurse 113 Holland Ave, Albany, NY 12208-3410 2020-01-09
1619516481 Kathleen Liberta Fitzgerald Recreational Therapist Assistant 113 Holland Ave, Albany, NY 12208-3410 2019-12-27
1346888328 Christina Mary Rulison Music Therapist 113 Holland Ave, Albany, NY 12208-3410 2019-12-20
1225676216 Michele Ferrauilo Recreation Therapist 113 Holland Ave, Albany, NY 12208 2019-12-20
1467090720 Susan Angela Colletti Recreation Therapist 113 Holland Ave, Albany, NY 12208-3410 2019-12-18
1659919918 Mary Nell Schmitz Recreation Therapist 113 Holland Ave, Albany, NY 12208-3410 2019-12-18
1295376192 Joy Aaron Social Worker 113 Holland Ave, Albany, NY 12208-3410 2019-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255959045 Fatima Mahmood Student in an Organized Health Care Education/Training Program 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 2020-07-08
1861021784 Jessica Anne Charles-larose Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 2020-04-02
1235767211 Michael Charles Harrington Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 2020-03-27
1518594126 Arkar Htoo Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 2020-03-24
1366079030 Omar Merdan Student in an Organized Health Care Education/Training Program 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 2020-03-24
1306473079 Sergo Gabunia Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 2020-03-24
1205469392 Cornell Andre Morris Social Worker Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 2020-02-17
1558909234 St. Peter's Health Partners Medical Associates, P.C. Surgery 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 2019-12-13
1912543265 Meghan Rose Baxter Social Worker 58 Academy Rd., Albany, NY 12208 2019-11-21
1245883461 Gwendolyn Medak Registered Nurse 15 New Scotland Ave, Albany, NY 12208 2019-07-17
Find all providers in zip 12208

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063789865 Swati Mehta Internal Medicine 2 Beaver Pond Rd, Albany, NY 12211-1402 2011-11-22
1922000611 James Fletcher Horn Internal Medicine 62 Hackett Blvd, Albany, NY 12209-1718 2005-08-11
1952860959 Annie Mae Walker Internal Medicine 1200 N Jefferson St, Albany, GA 31701-2057 2019-03-19
1669853677 Salim Bou Slaiman Internal Medicine 1200 N Jefferson St, Albany, GA 31701-2057 2015-06-16
1861730855 Lifeline Vascular Center - Albany, LLC Internal Medicine 2300 Dawson Rd, Suite, Albany, GA 31707-2803 2013-01-25
1720343783 Avantika Chenna Internal Medicine 1200 N Jefferson St, Albany, GA 31701-2057 2012-07-05
1700145786 Albany General Hospital Internal Medicine 1086 7th Ave Sw, Albany, OR 97321-1997 2012-05-10
1720376197 Pradeep Reddy Thodima Internal Medicine 1200 N Jefferson St, Albany, GA 31701-2057 2011-07-19
1023334828 Shivakanth Burugu Internal Medicine 1200 N Jefferson St, Albany, GA 31701-2057 2010-04-19
1962603225 Krishnakumar Hongalgi Internal Medicine 47 New Scotland Ave, Mc-69, Albany, NY 12208-3412 2007-05-31
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 12208

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Dataset Information

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.

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