VASCULAR SURGERY CLINIC OF AMCH (NPI# 1134773401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134773401 |
| Entity Type | Organization |
| Organization Name | VASCULAR SURGERY CLINIC OF AMCH |
| Practice Address |
391 Myrtle Avenue 5th Floor Albany NY 12208 |
| Mailing Address |
43 New Scotland Avenue Mc-13 Albany NY 12208-3412 |
| Practice Telephone | 5182625640 |
| Practice Fax Number | 5182625110 |
| Mailing Telephone | 8662427476 |
| Mailing Fax Number | 5182626316 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | MRS. FRANCES S ALBERT (EVP, COO, CFO) |
| Authorized Official Telephone | 5182623125 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALBANY MEDICAL CENTER HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03000364 | 05 |
| Street Address |
391 MYRTLE AVENUE 5TH FLOOR |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427078054 | Sean Patrick Roche | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-07-19 |
| 1679956643 | Frances Athena Rosario | Nurse Practitioner | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2015-07-08 |
| 1689958019 | Community Care Physicians, PC | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2011-10-04 |
| 1487889994 | David Lawrence Colman | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2009-05-28 |
| 1962665737 | Carlos Lucien Elguero | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2008-07-02 |
| 1053515932 | John Pugh | Psychiatry & Neurology | 391 Myrtle Avenue, Albany, NY 12208-3478 | 2007-06-13 |
| 1689797607 | Elena Rosenbaum | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2007-04-06 |
| 1922182856 | Mary Johnston | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-25 |
| 1659460038 | Catherine Clark | Nurse Practitioner | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-12 |
| 1790874170 | Neil Mitnick | Family Medicine | 391 Myrtle Avenue, Suite 4a, Albany, NY 12208 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356750707 | Nexus of Albany Surgery Center LLC | Clinic/Center | 2810 Meredyth Dr, Suite 101, Albany, GA 31707-2278 | 2014-08-11 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| 1285976241 | South Georgia Urology Surgery Center, LLC | Clinic/Center | 803 N Jackson St Ste B, Albany, GA 31701-2313 | 2013-03-18 |
| 1952483307 | Shackelford County Hospital District | Clinic/Center | 432 Kenshalo, Albany, TX 76430 | 2006-10-19 |
| 1164083911 | Everett Road Asc, LLC | Clinic/Center | 123 Everett Rd, Albany, NY 12205-1407 | 2019-06-24 |
| 1184083958 | Southern Surgery Center, LLC | Clinic/Center | 605 N Westover Blvd, Albany, GA 31707-2188 | 2016-02-22 |
| 1881910818 | Orthocare Surgery Center, LLC | Clinic/Center | 619 Pointe North Blvd, Albany, GA 31721-1514 | 2010-04-15 |
| 1407065444 | Albany Endoscopy Center, Inc. | Clinic/Center | 1009 N Monroe St, Suite 101, Albany, GA 31701-1970 | 2007-05-22 |
| 1598981888 | Premier Orthopedic Surgicenter, LLC | Clinic/Center | 2405 Osler Ct, Suite 100, Albany, GA 31707-0214 | 2007-04-17 |
| 1528196888 | Northwest Plaza Asc LLC | Clinic/Center | 2311 Lake Park Dr, Suite 4, Albany, GA 31707-3183 | 2007-03-01 |
| Find all providers in ALBANY | ||||
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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.