MICHELINE R. FORD (NPI# 1225179393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225179393 |
| Entity Type | Individual |
| Full Name | MICHELINE R. FORD |
| Other Name | MICHELINE R. BROOKS |
| Credential | MD |
| Practice Address |
124 Rosa Road Suite 382 Schenectady NY 12308-2144 |
| Mailing Address |
124 Rosa Road Schenctady NY 12308-2144 |
| Practice Telephone | 5183863691 |
| Practice Fax Number | 5183863553 |
| Mailing Telephone | 5183863691 |
| Mailing Fax Number | 5183863553 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
198459 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02132341 | 05 | |
| MEDICARE PTAN | J400016932 | 01 |
| Street Address |
124 ROSA ROAD SUITE 382 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12308-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598781320 | Anthony L. Malanga | Internal Medicine | 124 Rosa Road, Suite 382, Schenectady, NY 12308-2144 | 2006-07-14 |
| 1952747818 | Elizabeth L. Levine | Nurse Practitioner | 124 Rosa Road, Suite 382, Schenectady, NY 12308 | 2013-05-20 |
| 1770853426 | Jehanzeb Khan | Internal Medicine | 124 Rosa Road, Suite 382, Schenectady, NY 12308 | 2012-01-11 |
| 1275812299 | Niraj Sinha | Internal Medicine | 124 Rosa Road, Suite 382, Schenectady, NY 12308 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004125 | Mary C O'brien | Registered Nurse | 90 Elmer Ave, Schenectady, NY 12308 | 2011-12-21 |
| 1114203882 | Gina R Davenport | Speech-Language Pathologist | Zoller Elementary School, 1180 Lancaster Street, Schenectady, NY 12308 | 2011-10-26 |
| 1831472315 | Laura A Denofio | Social Worker | 1445 The Plaza, Schenectady, NY 12308 | 2011-09-21 |
| 1023328440 | Anthony G. Cortese | Social Worker | 1362 Union Street, Schenectady, NY 12308 | 2010-10-19 |
| 1205142288 | Jessica Lee Schoen | Pharmacist | 461 Nott Street, Schenectady, NY 12308 | 2010-08-27 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1316274194 | Helping Hands Nurse Staffing Services, LLC | Nursing Care | 2180 Avenue B, Schenectady, NY 12308 | 2009-11-16 |
| 1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
| 1891973459 | Anthony Joseph De Palma Sr. | Dentist | 1351 Union Street, Schenectady, NY 12308 | 2008-02-06 |
| 1447464029 | Lauren Weisberg Savage | Social Worker | 1411 Union Street, Schen, NY 12308 | 2007-05-10 |
| Find all providers in zip 12308 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1598781320 | Anthony L. Malanga | Internal Medicine | 124 Rosa Road, Suite 382, Schenectady, NY 12308-2144 | 2006-07-14 |
| 1760449136 | Kenneth F. Ashley | Internal Medicine | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508179 | Critical Care Telemedicine, Pllc | Internal Medicine | 1971 Western Ave # 197, Albany, NY 12203-5066 | 2018-12-04 |
| 1962908376 | Jan Bakker | Internal Medicine | 555 First Ave, New York, NY 10016 | 2018-04-04 |
| 1124543095 | Ccmma Nj LLC | Internal Medicine | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2017-08-11 |
| 1538698642 | Medical Care for All PC | Internal Medicine | 22 E 41st St Fl 4, New York, NY 10017-6280 | 2017-06-12 |
| 1437606050 | Sleep Solutions Inc. | Internal Medicine | 2446 East Tremont Avenue, Bronx, NY 10461-2817 | 2016-09-01 |
| 1841609302 | Laura Miranda | Internal Medicine | 4750 59th St, Woodside, NY 11377-5570 | 2014-08-10 |
| 1104236611 | Britta Kumley | Internal Medicine | 450 Clarkson Ave # Sl-50, Brooklyn, NY 11203-2012 | 2014-05-06 |
| 1467872739 | Glen Thomas Granati | Internal Medicine | Mather Hospital, 75 N Country Rd, Port Jefferson, NY 11777 | 2014-04-24 |
| 1497172548 | Michael Joseph Lau | Internal Medicine | 39 Brentwood Rd Ste 102, Bay Shore, NY 11706-8031 | 2014-03-26 |
| 1821431164 | Nidhi Kavi | Internal Medicine | 56 Myles Ave, Levittown, NY 11756-1717 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12308 |
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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.