MARY ELLEN KING (NPI# 1124050497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124050497 |
| Entity Type | Individual |
| Full Name | MARY ELLEN KING |
| Credential | DO |
| Practice Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Mailing Address |
20 Grand St Fl 3 Warwick NY 10990-1035 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8458563284 |
| Mailing Fax Number | 8459875979 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 220224 | NY | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
220224 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 220224 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BCBS | MK0027SX20 | 01 |
| NY | 02192372 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1639693856 | Mary King | Pharmacist | 55 Mathews Dr, Hilton Head Island, SC 29926-3700 | 2017-07-30 |
| 1205245602 | Mary Helen King | Dental Hygienist | 2716 Ne 87th Cir, Vancouver, WA 98665-1110 | 2014-08-11 |
| 1063719904 | Mary King | Counselor | 6308 Snow Ridge Ct, Arlington, TX 76018-3160 | 2011-02-11 |
| 1972741247 | Mary King | Registered Nurse | 200 Ingersoll Ln, Barton, VT 05822-8647 | 2009-01-26 |
| 1912033424 | Mary Alice King | Social Worker | 21 Old State Rd, Hopewell Junction, NY 12533-6634 | 2007-02-26 |
| 1154351906 | Mary C King | Counselor | 8624 Appleton Ct, Annandale, VA 22003-3806 | 2006-07-04 |
| 1033150362 | Mary E King | Chiropractor | 5725 Oleander Dr Ste B6, Wilmington, NC 28403-4749 | 2006-06-09 |
| 1255338083 | Mary J King | Internal Medicine | 8130 66th St N, Suite 1, Pinellas Park, FL 33781-2111 | 2005-07-07 |
| 1265435655 | Mary P. King | Family Medicine | 2750 Merrick Rd, Bellmore, NY 11710-5720 | 2005-05-31 |
| Street Address |
155 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398697 | Renita Danette Butler | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2005-07-07 |
| 1851908743 | Lex Randal Harvey | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-09-25 |
| 1205445384 | Jillian Amanda Sandler | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-07-24 |
| 1407474604 | Ashley M Lapolla | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2020-07-14 |
| 1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
| 1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
| 1598317489 | Shyna L Foster | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2019-07-11 |
| 1376102657 | Kiana Jeffers | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-06-10 |
| 1376107615 | Alyssa Stein | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-04-23 |
| 1700345733 | Mihaela Souliopoulos | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649780479 | Middlesex Hospital | Internal Medicine | 520 Saybrook Rd Ste N100, Middletown, CT 06457-4741 | 2017-10-06 |
| 1265832190 | Yingna Zhou | Internal Medicine | 14 Jason Pl, Suite 201, Middletown, NY 10940-1094 | 2014-08-28 |
| 1205102654 | Christine Egan Metzing | Internal Medicine | 413 Meadow Lane, Middletown, DE 19709 | 2012-03-30 |
| 1295021962 | Amna Iqbal | Internal Medicine | 8211 Town Brooke, Middletown, CT 06457-6621 | 2011-06-21 |
| 1417248543 | Vital Signs Medical Associates Pllc | Internal Medicine | 450 E Main St Ste 4, Middletown, NY 10940-2578 | 2011-04-23 |
| 1316176118 | Sukhdeep Kaur | Internal Medicine | 120 Highland Ave, Middletown, NY 10940-4713 | 2009-07-14 |
| 1265691364 | Himad Ullah Khan Khattak | Internal Medicine | 103 Mcknight Dr Ste A, Middletown, OH 45044-4891 | 2008-06-03 |
| 1407044860 | Joseph A Solomito Md and Assoc | Internal Medicine | 1030 Summitt Sq, Middletown, OH 45042-3400 | 2007-10-11 |
| 1437364387 | Nkeiruka Eucharia Okoye | Internal Medicine | 501 Atrium Dr, Suite 100, Middletown, OH 45005 | 2007-05-14 |
| 1972717395 | Njeri Thande | Internal Medicine | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | 2007-05-09 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.