MR. JOHN CHARLES EGAN III (NPI# 1942841986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942841986 |
| Entity Type | Individual |
| Full Name | MR. JOHN CHARLES EGAN III |
| Credential | PA-C |
| Practice Address |
315 S Manning Blvd Albany NY 12208-1789 |
| Mailing Address |
20 Edison Ave Apt 2 Albany NY 12208-2438 |
| Practice Telephone | 5185251550 |
| Mailing Telephone | 5185963122 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104954395 | John Patrick Egan II | Counselor | 72 Floral Ave, New Providence, NJ 07974-1511 | 2007-03-01 |
| 1821109026 | John Benson Egan | Physical Therapist | 698 E 12th St, Ste 300, Ogden, UT 84404-6200 | 2006-08-31 |
| 1063723310 | John Thomas Egan | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2010-07-01 |
| 1295977221 | John Patrick Egan IIi | Internal Medicine | 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 | 2009-04-06 |
| 1558418590 | John Craig Egan | Surgery | 1920 E Cambridge Ave, # 201, Phoenix, AZ 85006 | 2007-01-04 |
| 1952487316 | John Carroll Egan | Social Worker | 3369 E Broad St, Suite C, Columbus, OH 43213-1062 | 2006-10-28 |
| 1851406656 | John D. Egan | Internal Medicine | 601 N 30th St Ste 4820, Omaha, NE 68131-2137 | 2006-08-20 |
| 1801832084 | John M Egan | Radiology | 140 Nutt Road, Phoenixville, PA 19460 | 2006-06-22 |
| 1689665549 | John P Egan Jr. | Internal Medicine | 1675 Leahy St, Ste 324b, Muskegon, MI 49442-5500 | 2005-10-31 |
| Street Address |
315 S MANNING BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382131 | Lisle A Eaton Jr. | Pathology | 315 S Manning Blvd, Sph Maplewood Pathology, Albany, NY 12208-1707 | 2005-08-09 |
| 1962002071 | Stephen M Chamberlin | Pharmacist | 315 S Manning Blvd, Albany, NY 12208-1789 | 2020-10-28 |
| 1528675576 | Rebecca Sanders | Social Worker | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-09-24 |
| 1801406830 | Nicola Katherine Rizzo | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-08-04 |
| 1972111854 | Amy Vanamburgh | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-07-16 |
| 1518582089 | Aktham Jay Adams | Student in an Organized Health Care Education/Training Program | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-06-10 |
| 1720602493 | Capital District Pathology Associates Pllc | Pathology | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-05-29 |
| 1194346718 | Brittany Nora Center | Registered Nurse | 315 S Manning Blvd, Albany, NY 12208-1789 | 2020-05-05 |
| 1790306579 | Katherine Rose Hiles | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-05-03 |
| 1972134005 | Sarah Beth Eldredge | Physical Therapist | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-01-28 |
| Find all providers in the same location | ||||
| 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 Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
| 1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
| 1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
| 1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
| 1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| 1417306374 | Larry James Edwards | Physician Assistant | 2030 Newton Rd, Albany, GA 31701-3520 | 2016-06-10 |
| 1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
| 1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on MR. JOHN CHARLES EGAN III.
| 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.