PHOEBE PUTNEY MEMORIAL HOSPITAL (NPI# 1972625481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972625481 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Other Organization Name | PHOEBE NEUROLOGICAL SURGERY |
| Practice Address |
409 W 4th Ave Albany GA 31701-1915 |
| Mailing Address |
Po Box 2548 Albany GA 31702-2548 |
| Practice Telephone | 2293120700 |
| Practice Fax Number | 2293120705 |
| Mailing Telephone | 2293125870 |
| Mailing Fax Number | 2293125853 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRANK F MIDDLETON III (DIRECTOR PHYSICIAN SERVICES) |
| Authorized Official Telephone | 2293124055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PHOEBE NEUROLOGICAL SURGERY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316060585 | Phoebe Putney Memorial Hospital | Family Medicine | 2410 Sylvester Rd, Albany, GA 31705-2479 | 2007-04-10 |
| 1225151491 | Phoebe Putney Memorial Hospital | Internal Medicine | 425 W 3rd Ave Ste 340, Albany, GA 31701-1968 | 2007-04-10 |
| 1134242308 | Phoebe Putney Memorial Hospital | Surgery | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2007-04-10 |
| 1407979677 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1600, Albany, GA 31707-2442 | 2007-04-10 |
| 1669594222 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2442 | 2007-04-04 |
| 1225072846 | Phoebe Putney Memorial Hospital | Internal Medicine | 507 W 3rd Ave, Ste 100, Albany, GA 31701-1958 | 2006-06-15 |
| 1891315420 | Phoebe Putney Memorial Hospital | Pharmacy | 427 W 3rd Ave, Albany, GA 31701-1975 | 2020-04-23 |
| 1609268176 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2015-02-20 |
| 1487089132 | Phoebe Putney Memorial Hospital | General Acute Care Hospital | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-09-12 |
| 1295907475 | Phoebe Putney Memorial Hospital | Durable Medical Equipment & Medical Supplies | 414 5th Ave, Albany, GA 31701-1918 | 2008-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. | 417 W 3rd Ave, Albany, GA 31706-1943 |
| Street Address |
409 W 4TH AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316193626 | Phoebe Cancer Center Surgical Oncology | Surgery | 409 W 4th Ave, Albany, GA 31701-1915 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1861811770 | Peter Andrew Sweeny | Surgery | 705 Elm St Sw Ste 300, Albany, OR 97321-1958 | 2014-04-08 |
| 1457617169 | Rohit T Repala | Surgery | 319 S Manning Blvd Ste 304, Albany, NY 12208-1744 | 2012-04-06 |
| 1245506070 | Albany Surgery Associates, PC | Surgery | 319 South Mannning Blvd, Ste#302, Albany, NY 12208 | 2012-03-27 |
| 1154695401 | Lawrence S Eby | Surgery | 2740 Foxglove Loop Se, Albany, OR 97322-7192 | 2012-03-05 |
| 1689888091 | Danielle Marie Pastor | Surgery | 113 Holland Avenue, Mc112, Albany Stratton Va Medical Center, Albany, NY 12208 | 2007-05-09 |
| 1811010903 | Paresh P Mane | Surgery | 319 So Manning Blvd, Albany Thoracic and Esophageal Surgery, Albany, NY 12208 | 2007-04-06 |
| 1255476107 | Sanjay Munireddy | Surgery | 425 W 3rd Ave, Ste. 410, Phoebe Surgical Oncology, Albany, GA 31701-1954 | 2007-02-20 |
| 1821132093 | Gabriel J Kaufman | Surgery | 319 South Manning Blvd Ste 210, Dr Susan Kreienberg, Albany, NY 12208-1744 | 2007-02-19 |
| 1568527364 | Linda Elaine Weber | Surgery | 317 South Manning Blvd, Suite 270, Albany, NY 12208 | 2006-12-22 |
| 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.