DR. MICHAEL BROOKS WHITESIDE (NPI# 1942402110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942402110 |
Entity Type | Individual |
Full Name | DR. MICHAEL BROOKS WHITESIDE |
Credential | MD |
Practice Address |
1365 Washington Ave Ste 103 Albany NY 12206-1098 |
Mailing Address |
Po Box 985 Glens Falls NY 12801-0985 |
Practice Telephone | 5184656501 |
Practice Fax Number | 5187614674 |
Mailing Telephone | 5187931000 |
Mailing Fax Number | 5187931976 |
Enumeration Date | 2007-06-01 |
Last Update Date | 2019-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
248413 | NY | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2007-00871 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02979697 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427162759 | Michael S. Whiteside | Physical Therapist | 10130 Main St, Suite A, Lamont, CA 93241-1740 | 2006-08-17 |
Street Address |
1365 WASHINGTON AVE STE 103 |
City | ALBANY |
State | NY |
Zip Code | 12206-1098 |
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 | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962846956 | Anthony Edward Lang | Radiology | 17 Colonial Ave, Albany, NY 12203-2009 | 2013-04-22 |
1073881157 | Frank Maynard Thames Jr. | Radiology | 2219 Golf Course Dr, Albany, GA 31721-2079 | 2011-12-05 |
1487934188 | Maurice Emile Marchand | Radiology | 43 New Scotland Ave, Dept of Radiology, Albany Medical Center Hospital, Albany, NY 12208 | 2011-08-25 |
1285926709 | Marco Diego Vitto | Radiology | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2011-05-03 |
1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
1235377334 | Douglas George Walled | Radiology | 315 So Manning Blvd, Sph Medical Imaging, Albany, NY 12208 | 2009-01-27 |
1922203413 | John Ronald Andrews | Radiology | 2205 West Doublegate Drive, Albany, GA 31721 | 2007-06-15 |
1255415063 | Gary Siskin | Radiology | Albany Medical Center Hospital, 47 New Scotland Ave - Radiology, Albany, NY 12208 | 2006-10-25 |
1639268956 | Royce Marlin Cannington IIi | Radiology | 2715 Mccall Ct, Albany, GA 31721-9194 | 2006-10-12 |
1104929264 | Raul L. Diokno | Radiology | Stratton Va Medical Center 113 Holland Ave., Albany, NY 12208 | 2006-09-06 |
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.