PRIME CARE PHYSICIANS, P.L.L.C. (NPI# 1962622977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962622977 |
| Entity Type | Organization |
| Organization Name | PRIME CARE PHYSICIANS, P.L.L.C. |
| Other Organization Name | PRIME CARE PHYSICIANS, P.L.L.C. |
| Practice Address |
3 Normanskill Dr Albany NY 12209-1014 |
| Mailing Address |
4 Atrium Dr Suite 100 Albany NY 12205-1441 |
| Practice Telephone | 5184780948 |
| Practice Fax Number | 5184780968 |
| Mailing Telephone | 5184352704 |
| Mailing Fax Number | 5184582610 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | MR. MICHAEL WHALEN (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 5184352704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
54964 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 54964 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02616571 | 05 |
| Other Name | Type Code |
|---|---|
| Prime Care Physicians, P.L.L.C. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538360557 | Prime Care Physicians, P.l.l.c. | Internal Medicine | Margaretville Community Hospital, Rte. 28, Margaretville, NY 12455 | 2007-05-29 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1285627075 | Prime Care Physicians, P.l.l.c. | Family Medicine | 4 Atrium Dr, Suite 100, Albany, NY 12205-1441 | 2005-08-26 |
| 1982878575 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 29 Jones Ave, Chatham Medical Building, Chatham, NY 12037-1136 | 2008-04-15 |
| 1083834097 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 4 Palisades Dr, Suite 100, Albany, NY 12205-1443 | 2007-05-01 |
| 1891915807 | Prime Care Physicians, P.l.l.c. | Nurse Practitioner | 4 Palisades Dr, Suite 250, Albany, NY 12205-1443 | 2007-05-01 |
| 1639399645 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 1444 Western Ave, Suite A, Albany, NY 12203-3440 | 2007-05-01 |
| 1548480551 | Prime Care Physicians, P.l.l.c. | Family Medicine | 1444 Western Ave, Suite B-2, Albany, NY 12203-3440 | 2007-05-01 |
| 1457571465 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 2 New Hampshire Ave, Suite 200, Troy, NY 12180-1762 | 2007-05-01 |
| 1992925986 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 156 Quaker Rd, Queensbury, NY 12804-1718 | 2007-05-01 |
| Street Address |
3 NORMANSKILL DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12209-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356993968 | Shanta Ienee Pointer | Licensed Practical Nurse | 337 Second Avenue, Albany, NY 12209 | 2019-07-13 |
| 1396266011 | 24 Seven Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 13 Beekman Street, Albany, NY 12209 | 2017-07-03 |
| 1255852554 | Taisha Dejesus | Taxi | 17 Oneida Terrance, Albany, NY 12209 | 2017-06-28 |
| 1205385218 | Shirley Jean Bolden | Licensed Practical Nurse | 3 Beekman St., Albany, NY 12209 | 2016-10-03 |
| 1285069492 | Chandra Wells | Speech-Language Pathologist | 33 Betwood St, Albany, NY 12209 | 2013-09-06 |
| 1790061406 | Olive Farooq | Registered Nurse | 100 Elbel Ct, Albany, NY 12209 | 2011-10-26 |
| 1982988184 | Susan Daniels | Social Worker | 100 Elbel Court, Myers Middle School, Albany, NY 12209 | 2011-10-06 |
| 1679725535 | Alyssa Catharine Lotmore | Social Worker | 102 Hackett Blvd., Albany, NY 12209 | 2008-10-22 |
| 1255497707 | Kimberly Ann Kilby | Family Medicine | 25 Hackett Blvd # Mc133, Albany, NY 12209 | 2006-12-29 |
| 1427158880 | Eckerd Corporation | Pharmacy | 493 Delaware Avenue, Albany, NY 12209 | 2006-09-25 |
| Find all providers in zip 12209 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1659931848 | Hala Elfaki | Internal Medicine | 10 Callaway Circle, Loudonville, Albany, NY 12211-1221 | 2019-06-19 |
| 1447720271 | Paul E Lemanski Md Pllc | Internal Medicine | 2 Executive Park Dr Ste 1, Albany, NY 12203-3700 | 2018-12-05 |
| 1528595147 | Asha Pandu | Internal Medicine | 178 Washington Avenue Ext # Mc-58, Albany, NY 12203-5304 | 2017-05-13 |
| 1720531080 | Hania Shahid | Internal Medicine | 47 New Scotland Avenue, Dept of Internal Medicine, Albany, NY 12208-3412 | 2016-08-03 |
| 1376995431 | Asad Ullah | Internal Medicine | 47 New Scotland Ave # Mc-17, Albany, NY 12208-3412 | 2016-07-12 |
| 1831552397 | Mukund Madhaw Das | Internal Medicine | St. Peter's Hospital of The City of Albany, Hospitalist Department 315 So Manning Blvd, Albany, NY 12208 | 2016-04-01 |
| 1295128619 | Erik Rueckert | Internal Medicine | 400 Hickory St Nw # 300, Albany, OR 97321-1700 | 2015-03-10 |
| 1003207978 | Emmanuelle Cordero Torres | Internal Medicine | 47 New Scotland Ave Dept of Nephrology, Albany Medical Center, Albany, NY 12208 | 2015-02-12 |
| 1376944348 | Ravi Vuthoori | Internal Medicine | 43 New Scotland Ave # Mc-50, Albany, NY 12208-3412 | 2014-09-10 |
| 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.