ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC


Address: 1444 Western Ave, Suite D, Albany, NY 12203-3440
Phone: 5184520587

ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1174868749) 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) 1174868749
Entity Type Organization
Organization Name ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Other Organization Name ST. PETER'S INTERNAL AND PEDIATRIC MEDICINE
Practice Address 1444 Western Ave
Suite D
Albany
NY 12203-3440
Mailing Address Po Box 14890
Albany
NY 12212-4890
Practice Telephone 5184520587
Practice Fax Number 5182180152
Enumeration Date 2012-12-07
Last Update Date 2019-12-16
Authorized Official Name COURTNEY KNOWLES (CREDENTIALING MANAGER)
Authorized Official Telephone 5185255634
Is Organization Subpart Y
Parent Organization Name ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PRIME CARE-1444 WESTERN AVE-SUITE D Other Name - Individual/Organization
St. Peter's Internal and Pediatric Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821335233 St Peters Health Partners Medical Associates, PC Nurse Practitioner 2 New Hampshire Avenue Suite 200, Albany Associates In Cardiology, Albany, NY 12180-1762 2013-01-07
1376888032 St Peters Health Partners Medical Associates, PC Internal Medicine 26 N Front St, New Paltz, NY 12561-1410 2012-12-06
1497090146 St Peters Health Partners Medical Associates, PC Internal Medicine 156 Quaker Road, Albany Associates In Cardiology, Queensbury, NY 12804-1718 2012-12-06
1164767828 St Peters Health Partners Medical Associates, PC Nutritionist 4 Palisades Drive, Suite 100, Albany, NY 12205-1443 2012-12-06
1598000655 St Peters Health Partners Medical Associates, PC Emergency Medicine 1444 Western Avenue, Suite C, St. Peter's Family Medicine, Albany, NY 12203 2012-11-30
1861733701 St Peters Health Partners Medical Associates, PC Radiology 45 Pine Grove Ave, Kingston, NY 12401-5407 2013-03-01
1780929133 St Peters Health Partners Medical Associates, PC Radiology 315 South Manning Blvd, Sphpma Radiology Division, Albany, NY 12208-1707 2012-12-11
1306181961 St Peters Health Partners Medical Associates, PC Nurse Practitioner 582 New Loudon Rd, Latham, NY 12110-4029 2012-12-07
1760727325 St Peters Health Partners Medical Associates, PC Internal Medicine 63 Albany Shaker Rd, Suite 102, Albany, NY 12204-1030 2012-12-07
1144565714 St Peters Health Partners Medical Associates, PC Dietitian, Registered 1444 Western Ave Ste B2, Albany, NY 12203-3440 2012-12-07

Office Location

Street Address 1444 WESTERN AVE
SUITE D
City ALBANY
State NY
Zip Code 12203-3440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285626416 Paul S Walter Physician Assistant 1444 Western Ave, Suite B-1, Albany, NY 12203-3440 2005-08-15
1285007393 Kimberly Mae Griffiths Nurse Practitioner 1444 Western Ave, Suite D, Albany, NY 12203 2015-11-11
1356757348 Christina Shrestha Adhikari Nurse Practitioner 1444 Western Ave, Albany, NY 12203-3440 2014-07-10
1700121399 St Peters Health Partners Medical Associates, PC Internal Medicine 1444 Western Ave, Suite B - Kowal, Albany, NY 12203-3440 2012-12-07
1700196086 Megan P Cody Physician Assistant 1444 Western Ave, Suite D, Albany, NY 12203-3440 2010-10-20
1033421243 Richard A Clark Physician Assistant 1444 Western Ave, Suite A, Albany, NY 12203-3458 2010-07-06
1467612838 Elizabeth R Marks Internal Medicine 1444 Western Ave, Suite D, Albany, NY 12203-3458 2008-06-10
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
1538380498 Prime Care Physicians, P.l.l.c. Pediatrics 1444 Western Ave, Suite D, Albany, NY 12203-3440 2007-05-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720695885 Claire Ellen Williams Student in an Organized Health Care Education/Training Program Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 2020-09-23
1912551425 Samaritan Hospital of Troy, New York Nurse Practitioner 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 2019-08-01
1205365640 Esther Pearl Jackson Counselor 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 2017-06-08
1558899591 Diane Marie Wyatt Social Worker 1044 Western Ave, Albany, NY 12203 2017-06-02
1366980419 Lessie Lynette Johnson Social Worker 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 2017-02-09
1588108617 Theresa Viola Dicroce Physical Therapy Assistant One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 2016-12-08
1366813818 Eileen Nancy Nagy Audiologist 14 Columbia Circle, Suite 202, Albany, NY 12203 2015-10-09
1609242197 Jaclyn Whitman Specialist 230 Washington Ave Extention, Albany, NY 12203 2015-08-19
1447657457 Joyce Yvette Dewitt-parker Psychologist 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 2014-11-20
1023357373 Meredith Gaucher Physical Therapist 1971 Western Ave Ste 100, Albany, NY 12203 2013-02-06
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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 12203

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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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