Richard J Haldeman Iii (NPI# 1194794545, PAC ID# 0345234704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194794545 |
| PAC ID by PECOS | 0345234704 |
| Professional Enrollment ID | I20040409000430 |
| Full Name | Richard J Haldeman Iii |
| Organization Legal Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Address |
900 Lark Dr Albany NY 12207-1300 |
| Phone Number | 5184654771 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6507830031 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330013 | ALBANY MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Lark Dr, Albany, NY 12207-1300 | 5184654771 | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| 920 Lark Dr, Albany, NY 12207-1300 | 5184654771 | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Organization Legal Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherrie Levan | Physician Assistant | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Jennifer Lieberman | Nurse Practitioner | Whitney M. Young, Jr. Health Center, Inc. | 849 2nd Ave, Troy, NY 12182-2085 |
| Denise Gangi Pollacek | Physician Assistant | Whitney M. Young, Jr. Health Center, Inc. | 1804 2nd Ave, Watervliet, NY 12189-2818 |
| Sabira B Ghauri | Psychiatry | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Michael W Mckeon | Nurse Practitioner | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Mackenzie Meyer Berrus | Physician Assistant | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Padmaja Madala | Family Medicine | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Robert Weissberg | Family Medicine | Whitney M. Young, Jr. Health Center, Inc. | 849 2nd Ave, Troy, NY 12182-2085 |
| Elizabeth H Pradhan | Optometry | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Molly Ward | Registered Dietitian Or Nutrition Professional | Whitney M. Young, Jr. Health Center, Inc. | 849 2nd Ave, Troy, NY 12182-2085 |
| Street Address |
900 LARK DR |
| City | ALBANY |
| State | NY |
| Zip | 12207-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherrie Levan | Physician Assistant | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Sabira B Ghauri | Psychiatry | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Michael W Mckeon | Nurse Practitioner | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Mackenzie Meyer Berrus | Physician Assistant | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Padmaja Madala | Family Medicine | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Elizabeth H Pradhan | Optometry | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Kate Washburn | Clinical Social Worker | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Carrie Gordon-stacey | Certified Nurse Midwife (cnm) | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Karen A Bedell | Nurse Practitioner | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Virinchi R Bala | Internal Medicine | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Cameron | Physician Assistant | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| David S Skory | Obstetrics/gynecology | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Denise T King | Clinical Social Worker | Whitney M. Young, Jr. Health Center, Inc. | 900 Lark Dr, Albany, NY 12207-1300 |
| Sharon F Hunt-moriarty | Optometry | Professional Optometry Downtown, PC | 99 Pine St, Albany, NY 12207-2776 |
| Elisa B Perreault | Optometry | Professional Optometry Downtown, PC | 99 Pine St, Albany, NY 12207-2776 |
| Victor Chi Vuong | Optometry | Professional Optometry Downtown, PC | 99 Pine St, Albany, NY 12207-2776 |
| City | ALBANY |
| Zip Code | 12207 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALBANY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Richard J Haldeman Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.