TADELE DEMISSE (NPI# 1942866280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942866280 |
Entity Type | Individual |
Full Name | TADELE DEMISSE |
Practice Address |
1044 State St Schenectady NY 12307-1508 |
Mailing Address |
544 Foothill Rd Bridgewater NJ 08807-2139 |
Practice Telephone | 2672056213 |
Mailing Telephone | 2672056213 |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-05-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1044 STATE ST |
City | SCHENECTADY |
State | NY |
Zip Code | 12307-1508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497751010 | Edwin Robert Windle | Internal Medicine | 1044 State St, Schenectady, NY 12307-1508 | 2005-06-28 |
1508492901 | Prajna Yerusu | Dentist | 1044 State St, Schenectady, NY 12307-1508 | 2020-03-17 |
1770114803 | Erin E Bellinger-horton | Dental Hygienist | 1044 State St, Schenectady, NY 12307-1508 | 2020-01-28 |
1538705819 | Schenectady Family Health Services, Inc. | Clinic/Center | 1044 State St, Schenectady, NY 12307-1508 | 2019-11-21 |
1467010033 | Linda Xuan West | Nurse Practitioner | 1044 State St, Schenectady, NY 12307-1508 | 2019-05-30 |
1417412230 | See Seo | Pharmacist | 1044 State St, Schenectady, NY 12307-1508 | 2019-02-06 |
1053894717 | Elizabeth Anne Weissbart | Nurse Practitioner | 1044 State St, Schenectady, NY 12307-1508 | 2018-09-10 |
1003398033 | Miranda A Savignano | Dental Hygienist | 1044 State St, Schenectady, NY 12307 | 2018-09-06 |
1578049334 | Terry J Kallner Jr. | Nurse Practitioner | 1044 State St, Schenectady, NY 12307-1508 | 2018-07-16 |
1780170324 | Allen Chen | Student in an Organized Health Care Education/Training Program | 1044 State St, Schenectady, NY 12307-1508 | 2018-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417464322 | Emily Marsh | Social Worker | 738 State St, Schenectady, NY 12307 | 2018-01-02 |
1982820213 | Mohawk Opportunities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 201 Nott Terrace, Schenectady, NY 12307 | 2007-04-17 |
1194819854 | Carver Community Center of Schenectady, Inc. | Counselor | 846 State Street, Schenectady, NY 12307 | 2006-10-03 |
1366764755 | David A Geloso | Pharmacist | 1044 State Street, Schenectady, NY 12307-0000 | 2010-02-25 |
1881071819 | Bethesda House of Schenectady, Inc. | Psychologist | 834 State St, Schenectady, NY 12307-1202 | 2015-04-28 |
1326106956 | Thomas John Kuettel | Family Medicine | 846 State St, Schenectady, NY 12307-1202 | 2006-12-05 |
1265929210 | Kelly Noble | Registered Nurse | 738 State St, Schenectady, NY 12307-1206 | 2018-04-16 |
1518465251 | Tricia Brownell | Rehabilitation Counselor | 738 State St, Schenectady, NY 12307-1206 | 2018-01-29 |
1144728932 | Amy Michelle Della Rocco | Rehabilitation Counselor | 738 State St, Schenectady, NY 12307-1206 | 2018-01-26 |
1265412621 | Schenectady Ambulance Service, Inc. | Ambulance | 793 State St, Schenectady, NY 12307-1209 | 2006-01-20 |
Find all providers in zip 12307 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922614338 | Tram Nguyen | Student in an Organized Health Care Education/Training Program | 1126 Mcclellan St, Schenectady, NY 12309-5628 | 2020-09-21 |
1801440540 | Angelique Parks | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 204, Schenectady, NY 12304-1020 | 2019-07-31 |
1265823496 | Kristen Miller | Student in an Organized Health Care Education/Training Program | 6 Princeton St, Schenectady, NY 12304-3111 | 2015-02-10 |
1265794366 | Penelope Huggins Cuevas | Student in an Organized Health Care Education/Training Program | 13 Talon Dr, Schenectady, NY 12309-1840 | 2012-06-13 |
1043833106 | Waleed Ijaz | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
1497378558 | Rebecca Hublall | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
1215550371 | Lanice Thomas | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
1225651383 | Kadeeja Fredankey | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
1124641287 | Aliah Brianna Joslin | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
1942823000 | Gregory Drew | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
Find all providers in SCHENECTADY |
City | SCHENECTADY |
Zip Code | 12307 |
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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.