UPSTATE GASTROENTEROLOGY ASSOCIATES, PC (NPI# 1255355830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255355830 |
| Entity Type | Organization |
| Organization Name | UPSTATE GASTROENTEROLOGY ASSOCIATES, PC |
| Practice Address |
2200 Burdett Ave Troy NY 12180-2451 |
| Practice Telephone | 5182720234 |
| Practice Fax Number | 5182720906 |
| Mailing Telephone | 5182720234 |
| Mailing Fax Number | 5182720906 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-05-09 |
| Authorized Official Name | FREDERICK M BRAUNSTEIN (CEO) |
| Authorized Official Telephone | 5182721199 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RAILROAD MEDICARE | CC9024 | 01 |
| Street Address |
2200 BURDETT AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231279 | James Arthur Slavin | Orthopaedic Surgery | 2200 Burdett Ave, Suite 202, Troy, NY 12180-2451 | 2005-11-09 |
| 1154621068 | Burdett Optical, LLP | Durable Medical Equipment & Medical Supplies | 2200 Burdett Ave, Suite 101, Troy, NY 12180 | 2010-10-26 |
| 1962640672 | Charles Rheeman, Md, Pllc | Ophthalmology | 2200 Burdett Ave, Suite 206, Troy, NY 12180-2451 | 2009-02-03 |
| 1740445642 | Ann Loring Swezey | Nurse Practitioner | 2200 Burdett Ave, Troy, NY 12180 | 2008-07-21 |
| 1184754129 | Richard L Eglow | Specialist | 2200 Burdett Ave, Suite 103, Troy, NY 12180-2451 | 2007-03-07 |
| 1386752814 | Gregory B Krohel Md PC | Ophthalmology | 2200 Burdett Ave, Suite 206, Troy, NY 12180-2451 | 2006-08-25 |
| 1396758314 | Troy Audiology, PC | Audiologist-Hearing Aid Fitter | 2200 Burdett Ave, 105, Troy, NY 12180-2451 | 2006-08-14 |
| 1134133283 | Christine M Cooley | Nurse Practitioner | 2200 Burdett Ave, Suite 201, Troy, NY 12180-2451 | 2006-07-27 |
| 1932113149 | William Thomas Robinson | Internal Medicine | 2200 Burdett Ave, Troy, NY 12180-2451 | 2006-07-27 |
| 1801816327 | Burdett Orthopedics, PC | Orthopaedic Surgery | 2200 Burdett Ave, Suite 202, Troy, NY 12180-2451 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366609281 | G K Kumar Md PC | Internal Medicine | 1615 W Big Beaver Rd Bldg A, Troy, MI 48084-3539 | 2008-05-19 |
| 1508936493 | Khalid R Bhatti | Internal Medicine | 1444 Massachusetts Avenue, Troy, NY 12180 | 2006-11-08 |
| 1801873146 | Ganapathy K Kumar | Internal Medicine | 1615 W Big Weaver Rd, Ste A1, Troy, MI 48084 | 2005-12-28 |
| 1770572356 | Atulkumar S Patel | Internal Medicine | 264 W Maple Rd, #200, Troy, MI 48084-5435 | 2005-10-17 |
| 1427059013 | Fayez Dimitri Abboud | Internal Medicine | 3130 N County Rd 25a, Suite 109, Troy, OH 45373-1337 | 2005-08-03 |
| 1942674155 | Gastrointestinal and Liver Disease Specialists PC | Internal Medicine | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-11-25 |
| 1346644697 | Specialty Medicine Care, LLC | Internal Medicine | 41 S Stanfield Rd, Troy, OH 45373-2371 | 2014-10-15 |
| 1306179957 | Asma Arif Md PC | Internal Medicine | 2231 Burdett Ave, Suite 280, Troy, NY 12180-2480 | 2009-09-15 |
| 1154482248 | Sarala Ravikant Md PC | Internal Medicine | 38815 Dequindre Rd, Ste 100, Troy, MI 48083 | 2006-12-12 |
| 1780750125 | Gastrointestinal Specialists PC | Internal Medicine | 264 W Maple Rd, #200, Troy, MI 48084 | 2006-11-28 |
| Find all providers in TROY | ||||
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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.