John P Fantauzzi (NPI# 1649442070, PAC ID# 9234204108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1649442070 |
| PAC ID by PECOS | 9234204108 |
| Professional Enrollment ID | I20090615000081 |
| Full Name | John P Fantauzzi |
| Organization Legal Name | COLUMBIA MEMORIAL HOSPITAL |
| Address |
159 Jefferson Hts Suite C201 Catskill NY 12414-1204 |
| Phone Number | 5189431943 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5092709410 |
| Number of Group Practice Members | 201 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330013 | ALBANY MEDICAL CENTER HOSPITAL |
| 330094 | COLUMBIA MEMORIAL HOSPITAL |
| 330153 | ELLIS HOSPITAL |
| 330180 | SAMARITAN HOSPITAL |
| 330047 | ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 25 Hackett Blvd, Albany, NY 12208-3499 | 5182621244 | ALBANY MEDICAL CENTER HOSPITAL |
| 43 New Scotland Ave Mail Code, Suite 152, Albany, NY 12208-3412 | 5182623277 | ALBANY MEDICAL CENTER HOSPITAL |
| 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 | 5189431943 | COLUMBIA MEMORIAL HOSPITAL |
| 159 Jefferson Hts, Catskill, NY 12414-1237 | COLUMBIA MEMORIAL HOSPITAL | |
| 1783 Route 9, Halfmoon, NY 12065-2409 | COMMUNITY CARE PHYSICIANS PC | |
| 71 Prospect Ave, Hudson, NY 12534-2907 | COLUMBIA MEMORIAL HOSPITAL | |
| 711 Troy Schenectady Rd, Latham, NY 12110-2461 | COMMUNITY CARE PHYSICIANS PC | |
| 1101 Nott St, Schenectady, NY 12308-2425 | 5182434000 | ELLIS HOSPITAL |
| 2546 Balltown Rd, Schenectady, NY 12309-1079 | COMMUNITY CARE PHYSICIANS PC |
| Organization Legal Name | COLUMBIA MEMORIAL HOSPITAL |
| Physicians | 184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth W Yuan | Family Medicine | Columbia Memorial Hospital | 9 Law St, West Coxsackie, NY 12192-1300 |
| Joshua Tripp Rosenfield | Internal Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Carlton T Phelps | Diagnostic Radiology | Columbia Memorial Hospital | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Tom M Mckibbin Vaughan | Physician Assistant | Columbia Memorial Hospital | 283 Mountain View Rd, Copake, NY 12516-1201 |
| Amy J Surman | Physician Assistant | Columbia Memorial Hospital | 31 Dardess Dr, Chatham, NY 12037-1438 |
| Susan L Mekosh | Physician Assistant | Columbia Memorial Hospital | Po Box, Suite 785, Valatie, NY 12184-0785 |
| Cynthia S Friedman | Certified Nurse Midwife (cnm) | Columbia Memorial Hospital | 159 Jefferson Hts, Catskill, NY 12414-1237 |
| Peter A Franklin | Internal Medicine | Columbia Memorial Hospital | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Hans Boehm | Nurse Practitioner | Columbia Memorial Hospital | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Kathleen B Marici | Family Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Street Address |
159 JEFFERSON HTS SUITE C201 |
| City | CATSKILL |
| State | NY |
| Zip | 12414-1204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Tripp Rosenfield | Internal Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Cynthia S Friedman | Certified Nurse Midwife (cnm) | Columbia Memorial Hospital | 159 Jefferson Hts, Catskill, NY 12414-1237 |
| Kathleen B Marici | Family Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Phuong N Vinh | Diagnostic Radiology | Columbia Memorial Hospital | 159 Jefferson Hts, Catskill, NY 12414-1237 |
| Vinod K Gupta | Nephrology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Theresa A Meltz | Physician Assistant | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Ellen M Czajka | Diagnostic Radiology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Inna Kudria | Family Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Mehjabin Zahir | Pulmonary Disease | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Marie C Lingat | Pulmonary Disease | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward M Marici | Obstetrics/gynecology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Jeff I Monkash | Gastroenterology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Diane B Braden | Nurse Practitioner | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Frederic J Hellwitz | Diagnostic Radiology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Ian Atlas | Urology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Jennifer L Gsell | Nurse Practitioner | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Daniel J. Fitzgerald | Family Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Christine L Cooley | Diagnostic Radiology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Vinod Anand | Nephrology | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| David Weber | Emergency Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Find all physicians in zip 12414 | |||
| City | CATSKILL |
| Zip Code | 12414 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CATSKILL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John P Fantauzzi.
| 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.