Douglas Walled (NPI# 1235377334, PAC ID# 5092992891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1235377334 |
| PAC ID by PECOS | 5092992891 |
| Professional Enrollment ID | I20130325000554 |
| Full Name | Douglas Walled |
| Organization Legal Name | ALBANY ADVANCED IMAGING PLLC |
| Address |
648 Plank Rd Clifton Park NY 12065-2062 |
| Phone Number | 5186881177 |
| Gender | M |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1153308820 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330057 | ST PETER'S HOSPITAL |
| 330180 | SAMARITAN HOSPITAL |
| 330003 | ALBANY MEMORIAL HOSPITAL |
| 330013 | ALBANY MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 199 Wolf Rd, Albany, NY 12205-5921 | 5184351234 | ALBANY ADVANCED IMAGING PLLC |
| 3 Atrium Dr, Albany, NY 12205-1417 | 5184380600 | ALBANY ADVANCED IMAGING PLLC |
| 3 Atrium Dr, Suite 160, Albany, NY 12205-1432 | 5184380600 | NORTHEAST MEDICAL IMAGING PC |
| 315 S Manning Blvd, Albany, NY 12208-1707 | 5185251852 | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC |
| 648 Plank Rd, Clifton Park, NY 12065-2062 | 5186881177 | ALBANY ADVANCED IMAGING PLLC |
| Organization Legal Name | ALBANY ADVANCED IMAGING PLLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vardan Amirbekian | Diagnostic Radiology | Albany Advanced Imaging Pllc | 199 Wolf Rd, Albany, NY 12205-5921 |
| Jennifer Mcosker | Diagnostic Radiology | Albany Advanced Imaging Pllc | 3 Atrium Dr, Albany, NY 12205-1417 |
| Kirsten K Cestaro | Diagnostic Radiology | Albany Advanced Imaging Pllc | 199 Wolf Rd, Albany, NY 12205-5921 |
| Colin Michael Ellis | Diagnostic Radiology | Albany Advanced Imaging Pllc | 3 Atrium Dr, Albany, NY 12205-1417 |
| Fatima Soliman | Diagnostic Radiology | Albany Advanced Imaging Pllc | 3 Atrium Dr, Albany, NY 12205-1417 |
| Salvatore R Cavoli | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Lee M Ratner | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Andrew S Hawkins | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Mark H Usow | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Robert J Rapoport | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Street Address |
648 PLANK RD |
| City | CLIFTON PARK |
| State | NY |
| Zip | 12065-2062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salvatore R Cavoli | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Lee M Ratner | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Andrew S Hawkins | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Mark H Usow | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Robert J Rapoport | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Brian Paul Weiss | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Jonathan D Mishkin | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| David Ellis | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Stephen Hughes | Diagnostic Radiology | Albany Advanced Imaging Pllc | 648 Plank Rd, Clifton Park, NY 12065-2062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Henry Perlmutter | Ophthalmology | Lawrence Perlmutter Md PC | 1789 U S, Suite 9, Clifton Park, NY 12065 |
| Shannon L O'meara | Nurse Practitioner | Community Care Physicians PC | Suite 2, Clifton Park, NY 12065 |
| Bradley J Elliott | Chiropractic | 677 Plank Rd, Clifton Park, NY 12065-2020 | |
| Eugene D Kaplan | Neurology | 634 Plank Rd, Suite 106, Clifton Park, NY 12065-2033 | |
| Alan J Barnett | Psychologist, Clinical | 634 Plank Rd, Suite 204, Clifton Park, NY 12065-2033 | |
| Rita M Oliverio | Psychologist, Clinical | 96 Appletree Ln, Clifton Park, NY 12065-2104 | |
| Rupal Patel | Diagnostic Radiology | Community Care Physicians PC | 1783 Route 9, Halfmoon, NY 12065-2409 |
| Ruth Beer | Diagnostic Radiology | Community Care Physicians PC | 1783 Route 9, Halfmoon, NY 12065-2409 |
| Earl Zimmerman | Neurology | Albany Medical College | 1783 Route 9, Suite 205, Halfmoon, NY 12065-2409 |
| Lisa M Artino | Qualified Audiologist | Albany Medical College | 1783 Route 9, Halfmoon, NY 12065-2409 |
| Find all physicians in zip 12065 | |||
| City | CLIFTON PARK |
| Zip Code | 12065 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CLIFTON PARK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Douglas Walled.
| 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.