EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC (NPI# 1265495451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265495451 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC |
| Practice Address |
3 Atrium Dr Suite 150 Albany NY 12205-1417 |
| Practice Telephone | 5184532361 |
| Practice Fax Number | 5184531594 |
| Mailing Telephone | 5184532361 |
| Mailing Fax Number | 5184531594 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | MS. ELLEN COOPER (ADMINISTRATOR) |
| Authorized Official Telephone | 5184532361 |
| Authorized Official Credential | RN, CNOR, CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0101219R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BC PROVIDER NUMBER | 014594 | 01 |
| NY | CDPHP PROVIDER NUMBER | 10043997 | 01 |
| NY | MVP PROVIDER NUMBER | 1488 | 01 |
| NY | BSNENY PROVIDER NUMBER | 000401075000 | 01 |
| NY | 02107211 | 05 |
| Street Address |
3 ATRIUM DR SUITE 150 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675124 | Asher Weiner | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2005-11-03 |
| 1932598075 | Timothy A Steiner | Marriage & Family Therapist | 3 Atrium Dr, Ste 202, Albany, NY 12205-1417 | 2015-01-13 |
| 1700148681 | Orthopedicsny, LLP | Orthopaedic Surgery | 3 Atrium Dr, Suite 130, Albany, NY 12205 | 2012-06-15 |
| 1255660940 | Albany Troy Cataract & Laser Associates | Eyewear Supplier (Equipment, not the service) | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2009-12-09 |
| 1811136997 | Mark Marshall | Social Worker | 3 Atrium Dr, Suite 202, Albany, NY 12205-1417 | 2009-02-12 |
| 1053573337 | Patrick J Mottolese | Dentist | 3 Atrium Dr, Suite 215, Albany, NY 12205-1417 | 2008-06-27 |
| 1871754846 | David Karim Rabady | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2008-06-22 |
| 1326224528 | Manijeh Contractor | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2008-01-17 |
| 1346393790 | Thomas Niccolla Consulting Services, Pllc | Clinic/Center | 3 Atrium Dr, Suite 110, Albany, NY 12205-1417 | 2007-01-19 |
| 1649345034 | Dennis Francis Corbett | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 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 |
| 1134773401 | Vascular Surgery Clinic of Amch | Clinic/Center | 391 Myrtle Avenue, 5th Floor, Albany, NY 12208 | 2019-07-25 |
| 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 |
| 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.