LOUIS PETER DECUNZO JR. (NPI# 1124000864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124000864 |
| Entity Type | Individual |
| Full Name | LOUIS PETER DECUNZO JR. |
| Credential | MD |
| Practice Address |
14 Hudson Avenue Surgical Specialists of Glens Falls Hospital Glens Falls NY 12801-4443 |
| Mailing Address |
100 Park Street Glens Falls NY 12801-4413 |
| Practice Telephone | 5189265600 |
| Practice Fax Number | 5189265605 |
| Mailing Telephone | 5189265924 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201484 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01617601 | 05 | |
| NY | RR MEDICARE | P00402831 | 01 |
| Street Address |
14 HUDSON AVENUE SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336299551 | Vincent T Cooper | Urology | 14 Hudson Avenue, Surgical Specialists of Glens Falls Hospial, Glens Falls, NY 12801 | 2007-01-11 |
| 1891865663 | Mark T Kircher | Orthopaedic Surgery | 14 Hudson Avenue, Surgical Specialists of Glens Falls Hospital, Glens Falls, NY 12801-4413 | 2006-11-09 |
| 1932296597 | Steven Vincent Scalia | Surgery | 14 Hudson Avenue, Surgical Specialists of Glens Falls Hospital, Glens Falls, NY 12801 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679821110 | Glens Falls Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 102 Park St, Center for Chest & Lung Surgery, Glens Falls, NY 12801-4403 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986925 | Arthur Robert Dresdale | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 E 83rd St Apt 10b, New York, NY 10028-6265 | 2020-09-13 |
| 1366078677 | Philippe H Lemaitre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 Fort Washington Ave Ste 336, New York, NY 10032-3729 | 2020-03-18 |
| 1932734324 | Ismail El-hamamsy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mount Sinai Hospital (cardiovascular Surgery), 1190 5th Avenue, Gp 2w, New York, NY 10029 | 2020-03-06 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1386162287 | Chest Thoracic Surgery of Ny | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 326 Trumbull Rd, Manhasset, NY 11030-2117 | 2017-08-31 |
| 1598281131 | Suguru Ohira | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Woods Rd # Macy114w, Valhalla, NY 10595-1530 | 2017-08-15 |
| 1215303441 | Suffolk Thoracic Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23 Pheasant Ln, East Setauket, NY 11733-2634 | 2015-08-11 |
| 1962895680 | Usa Professional Medical Services of New York LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5920 Myrtle Ave, Ridgewood, NY 11385-5658 | 2015-03-05 |
| 1902297468 | Suffolk Thoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21 Vantage Ct, Port Jefferson, NY 11777-2242 | 2015-02-05 |
| 1720410756 | Luis E Cortes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 E 84th St, New York, NY 10028-7301 | 2013-08-01 |
| Find all providers with the same taxonomy | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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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.