PRIME CARE PHYSICIANS, P.L.L.C.


Address: 63 Albany Shaker Road, Suite 102, Albany, NY 12204
Phone: 5182072710

PRIME CARE PHYSICIANS, P.L.L.C. (NPI# 1124248430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124248430
Entity Type Organization
Organization Name PRIME CARE PHYSICIANS, P.L.L.C.
Practice Address 63 Albany Shaker Road
Suite 102
Albany
NY 12204
Mailing Address 4 Atrium Dr
Suite 100
Albany
NY 12205-1441
Practice Telephone 5182072710
Practice Fax Number 5182072713
Mailing Telephone 5184352704
Mailing Fax Number 5184582610
Enumeration Date 2007-04-27
Last Update Date 2012-03-28
Authorized Official Name MR. MICHAEL WHALEN II (DIRECTOR OF ADMINISTRATION)
Authorized Official Telephone 5184352704
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02616571 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538360557 Prime Care Physicians, P.l.l.c. Internal Medicine Margaretville Community Hospital, Rte. 28, Margaretville, NY 12455 2007-05-29
1962622977 Prime Care Physicians, P.l.l.c. Nurse Practitioner 3 Normanskill Dr, Albany, NY 12209-1014 2007-05-01
1285627075 Prime Care Physicians, P.l.l.c. Family Medicine 4 Atrium Dr, Suite 100, Albany, NY 12205-1441 2005-08-26
1982878575 Prime Care Physicians, P.l.l.c. Internal Medicine 29 Jones Ave, Chatham Medical Building, Chatham, NY 12037-1136 2008-04-15
1083834097 Prime Care Physicians, P.l.l.c. Internal Medicine 4 Palisades Dr, Suite 100, Albany, NY 12205-1443 2007-05-01
1891915807 Prime Care Physicians, P.l.l.c. Nurse Practitioner 4 Palisades Dr, Suite 250, Albany, NY 12205-1443 2007-05-01
1639399645 Prime Care Physicians, P.l.l.c. Internal Medicine 1444 Western Ave, Suite A, Albany, NY 12203-3440 2007-05-01
1548480551 Prime Care Physicians, P.l.l.c. Family Medicine 1444 Western Ave, Suite B-2, Albany, NY 12203-3440 2007-05-01
1457571465 Prime Care Physicians, P.l.l.c. Internal Medicine 2 New Hampshire Ave, Suite 200, Troy, NY 12180-1762 2007-05-01
1992925986 Prime Care Physicians, P.l.l.c. Internal Medicine 156 Quaker Rd, Queensbury, NY 12804-1718 2007-05-01

Office Location

Street Address 63 ALBANY SHAKER ROAD
SUITE 102
City ALBANY
State NY
Zip Code 12204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568015352 Chanel Bovian Licensed Practical Nurse 587 Broadway Apt.a2, Menands, NY 12204 2019-07-20
1659853513 David Jonathan Brown Driver 456 North Pearl St., Albany, NY 12204 2018-09-06
1255686481 Adam Michael Burman Pharmacist 350 Northern Boulevard, Albany, NY 12204 2012-07-13
1043579196 Victoria Epstein Ophthalmology 63 Shaker Rd Ste 101, Albany, NY 12204 2012-05-10
1306117270 Jacqueline J Swenson Physical Therapist Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 2012-01-24
1730466681 Kathleen C Dalcol Registered Nurse 570 North Pearl Street, North Albany Academy, Albany, NY 12204 2011-11-07
1649592049 Shirley L Savage Licensed Practical Nurse 150 Broadway Ave., Suite 310, Menands, NY 12204 2010-02-26
1801084645 The Embryology Network Clinical Medical Laboratory 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 2007-10-05
1578788204 Antoinette June Holman Licensed Practical Nurse Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 2007-04-16
1093802597 Northeast Vitreo Retinal Assoc PC Ophthalmology 349 Northern Blvd, Albany, NY 12204 2006-10-06
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770196602 Julia A Mason Internal Medicine 78 Crescent Dr, Albany, NY 12208-1230 2020-08-29
1659931848 Hala Elfaki Internal Medicine 10 Callaway Circle, Loudonville, Albany, NY 12211-1221 2019-06-19
1447720271 Paul E Lemanski Md Pllc Internal Medicine 2 Executive Park Dr Ste 1, Albany, NY 12203-3700 2018-12-05
1528595147 Asha Pandu Internal Medicine 178 Washington Avenue Ext # Mc-58, Albany, NY 12203-5304 2017-05-13
1720531080 Hania Shahid Internal Medicine 47 New Scotland Avenue, Dept of Internal Medicine, Albany, NY 12208-3412 2016-08-03
1376995431 Asad Ullah Internal Medicine 47 New Scotland Ave # Mc-17, Albany, NY 12208-3412 2016-07-12
1831552397 Mukund Madhaw Das Internal Medicine St. Peter's Hospital of The City of Albany, Hospitalist Department 315 So Manning Blvd, Albany, NY 12208 2016-04-01
1295128619 Erik Rueckert Internal Medicine 400 Hickory St Nw # 300, Albany, OR 97321-1700 2015-03-10
1003207978 Emmanuelle Cordero Torres Internal Medicine 47 New Scotland Ave Dept of Nephrology, Albany Medical Center, Albany, NY 12208 2015-02-12
1376944348 Ravi Vuthoori Internal Medicine 43 New Scotland Ave # Mc-50, Albany, NY 12208-3412 2014-09-10
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Competitor

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City ALBANY
Zip Code 12204

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Dataset Information

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.

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