MID HUDSON PLASTIC SURGERY PC (NPI# 1144215161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144215161 |
| Entity Type | Organization |
| Organization Name | MID HUDSON PLASTIC SURGERY PC |
| Practice Address |
117 Marys Ave Suite 204 Kingston NY 12401-5849 |
| Practice Telephone | 8453380789 |
| Practice Fax Number | 8453349150 |
| Mailing Telephone | 8453380789 |
| Mailing Fax Number | 8453349150 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2016-09-21 |
| NPI Deactivation Date | 06/10/2008 |
| NPI Reactivation Date | 2009-03-05 |
| Authorized Official Name | DR. THOMAS HAGERTY (GROUP OWNER) |
| Authorized Official Telephone | 8453380799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 2017201 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
117 MARYS AVE SUITE 204 |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144474511 | Melissa D Shah | Surgery | 117 Marys Ave, Suite 202, Kingston, NY 12401-5849 | 2008-11-11 |
| 1023284791 | Ayse Pere | Nurse Practitioner | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2008-05-02 |
| 1366659518 | The Vascular Group Pllc | Radiology | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2007-05-17 |
| 1194945741 | Matthew Anthony Hilmi | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-04-26 |
| 1356468193 | Mid-hudson Oral and Maxillofacial PC | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-03-26 |
| 1609949528 | Richard Joseph Burzine | Physician Assistant | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2006-11-16 |
| 1609968593 | Hudson Valley Family Physicians, Pllc | Family Medicine | 117 Marys Ave, Suite 101, Kingston, NY 12401-5849 | 2006-09-28 |
| 1932140431 | Hudson Valley Oncology, PC | Internal Medicine | 117 Marys Ave, Suite 102, Kingston, NY 12401-5849 | 2006-06-08 |
| 1891734810 | Hal N. Buch, Md PC | Internal Medicine | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2006-06-05 |
| 1841237542 | Stephanie S Saltzberg | Radiology | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891761888 | Daniel M Zeichner | Plastic Surgery | 117 Marys Ave, Ste 105, Kingston, NY 12401 | 2006-02-28 |
| 1831184449 | Thomas A. Hagerty | Plastic Surgery | 117 Marys Ave, Suite 204, Kingston, NY 12401-5849 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
| 1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
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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.