ETHIOPIA TEFERRA (NPI# 1275587461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275587461 |
| Entity Type | Individual |
| Full Name | ETHIOPIA TEFERRA |
| Credential | M.D. |
| Practice Address |
695 Dutchess Tpke Suite 105 Poughkeepsie NY 12603-6442 |
| Practice Telephone | 8886475979 |
| Practice Fax Number | 8888470818 |
| Mailing Telephone | 8886475979 |
| Mailing Fax Number | 8888470818 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
268900 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D0052417 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | B/C B/S | J062 | 01 |
| MD | B/C B/S | KA80 | 01 |
| MD | 475461100 | 05 | |
| DC | B/C B/S | 2849 | 01 |
| Street Address |
695 DUTCHESS TPKE SUITE 105 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179574 | Gold Coast Dental | Dentist | 695 Dutchess Tpke, Suite 104, Poughkeepsie, NY 12603-6442 | 2016-04-11 |
| 1770996613 | Vincent Joseph Casucci II | Specialist | 695 Dutchess Tpke, Suite 203, Poughkeepsie, NY 12603-6442 | 2014-06-09 |
| 1174662761 | Lorraine Prezkuta-diaz | Social Worker | 695 Dutchess Tpke, Suite 202, Poughkeepsie, NY 12603-6442 | 2007-02-06 |
| 1992899868 | William Otto Thompson | Neuromusculoskeletal Medicine, Sports Medicine | 695 Dutchess Tpke, Suuite 206, Poughkeepsie, NY 12603-6442 | 2006-10-03 |
| 1235231051 | John C. Quintas | Radiology | 695 Dutchess Tpke, Suite 105, Poughkeepsie, NY 12603-6442 | 2006-09-02 |
| 1891897617 | Fred Charles Vannatta | Radiology | 695 Dutchess Tpke, Suite 105, Poughkeepsie, NY 12603-6442 | 2006-09-02 |
| 1588766414 | Lynn A Clements-northland | Radiology | 695 Dutchess Tpke, Suite #105, Poughkeepsie, NY 12603-6442 | 2006-09-01 |
| 1508872649 | John Eric Ditzenberger | Radiology | 695 Dutchess Tpke, Suite 105, Poughkeepsie, NY 12603-6442 | 2006-07-31 |
| 1780698019 | Sarah Zeb | Radiology | 695 Dutchess Tpke, Suite 105, Poughkeepsie, NY 12603-6442 | 2006-07-29 |
| 1659394013 | Elizabeth Carol Dubovsky | Radiology | 695 Dutchess Tpke, Suite 105, Poughkeepsie, NY 12603-6442 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1013555812 | Jaclyn Anne Johnson | Licensed Practical Nurse | 370 Cedar Valley Rd, Poughkeepsie, NY 12603 | 2019-12-12 |
| 1790345189 | Nirja Kumar | Counselor | 514 Height Ave, Poughkeepsie, NY 12603 | 2019-06-18 |
| 1790349512 | Mariama-seray Binta Barrie | Nurse Practitioner | 50 Eastdale Avenue, Poughkeepsie, NY 12603 | 2019-04-26 |
| 1871066670 | Heather Greer Belding-wilson | Dietitian, Registered | 76 Firemen's Way, Poughkeepsie, NY 12603 | 2019-01-04 |
| 1861968927 | Cynthia Lee Specht | Registered Nurse | 488 Freedom Plains Rd Ste 122, Poughkeepsie, NY 12603 | 2018-10-16 |
| 1740772177 | Courtney W Albert, Mental Health Counseling, Pllc | Counselor | 2 - 4 Austin Court, Poughkeepsie, NY 12603 | 2018-06-01 |
| 1649797820 | Kaizen Physical Therapy P.l.l.c. | Clinic/Center | 26 Cooper Rd Apt 715, Poughkeepsie, NY 12603 | 2017-08-28 |
| 1740704998 | Kimberly Cwik | Licensed Practical Nurse | 14 Westend Avenue, Poughkeepsie, NY 12603 | 2017-07-31 |
| 1114389426 | Gina Huss | Case Manager/Care Coordinator | 6 Deer Run Rd, Poughkeepsie, NY 12603 | 2016-03-25 |
| Find all providers in zip 12603 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490034 | Hudson Valley Radiologists, PC | Radiology | 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 | 2020-09-03 |
| 1730702986 | Hudson Valley Radiologists, PC | Radiology | 17 Argent Dr, Poughkeepsie, NY 12603-6040 | 2020-05-22 |
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1124641378 | Hudson Valley Radiologists, PC | Radiology | 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 | 2020-05-22 |
| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1073136438 | Hudson Valley Radiologists, PC | Radiology | 60 Michaels Ln, Poughkeepsie, NY 12603-6352 | 2020-05-20 |
| 1326520859 | Hudson Valley Radiologists, PC | Radiology | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | 2018-08-31 |
| 1164910246 | Hudson Valley Radiologists, PC | Radiology | 27 Timberline Dr, Poughkeepsie, NY 12603-5532 | 2018-04-25 |
| 1972820660 | Krishna Kumar Das | Radiology | 1 Columbia St Fl 1, Poughkeepsie, NY 12601-3924 | 2010-04-21 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
Please comment or provide details below to improve the information on ETHIOPIA TEFERRA.
| 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.