MICHAEL CHISDAK (NPI# 1295735561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295735561 |
| Entity Type | Individual |
| Full Name | MICHAEL CHISDAK |
| Credential | MD |
| Practice Address |
52 Harrison St Johnson City NY 13790-2120 |
| Practice Telephone | 6077298845 |
| Practice Fax Number | 6077295574 |
| Mailing Telephone | 6077298845 |
| Mailing Fax Number | 6077295574 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
168967 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00845607 | 05 |
| Street Address |
52 HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004945 | Olesya Craven | Specialist/Technologist, Other | 52 Harrison St, Johnson City, NY 13790-2120 | 2019-07-15 |
| 1417323999 | Jared M Pado | Nurse Practitioner | 52 Harrison St, Fl 2, Johnson City, NY 13790-2120 | 2015-08-19 |
| 1174955090 | Ellen Patricia Reynolds | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2013-08-01 |
| 1063763357 | Erin Meyer | Pharmacist | 52 Harrison St, Johnson City, NY 13790-2120 | 2012-09-26 |
| 1821392663 | United Health Services Hospitals Inc | Pharmacy | 52 Harrison St, Johnson City, NY 13790-2120 | 2011-01-10 |
| 1336378835 | Cathleen J Baynar | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2009-07-07 |
| 1861659351 | Muhammad I Ali | Internal Medicine | 52 Harrison St, Suite 1, Johnson City, NY 13790-2120 | 2008-05-21 |
| 1083736896 | Erika K. Armstrong | Physician Assistant | 52 Harrison St, Johnson City, NY 13790 | 2007-04-04 |
| 1841303070 | Southern Tier Pulmonary & Critical Care Medicine LLC | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2006-08-15 |
| 1831118199 | Matthew Thomas Bennett | Orthopaedic Surgery | 52 Harrison St, 2nd Fl, Johnson City, NY 13790-2120 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1902103666 | Amanda Kay Vanlandingham | Internal Medicine | 310 N State of Franklin Rd Ste 303, Johnson City, TN 37604-6051 | 2011-02-16 |
| 1932133626 | Cheryl Fields-ossorio | Internal Medicine | 1113 Southwest Ave, Johnson City, TN 37604-6517 | 2006-07-10 |
| 1417939414 | Keith P Young | Internal Medicine | 400 N State of Franklin Rd Rm 2746, Johnson City, TN 37604-6035 | 2005-11-16 |
| 1841303070 | Southern Tier Pulmonary & Critical Care Medicine LLC | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2006-08-15 |
| 1649201997 | Maria Carmina Garcia | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-07-05 |
| 1265460034 | Jayant B Mehta | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-06-29 |
| 1023046737 | Charles Pittman Cole | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-06-29 |
| 1982640827 | Pulmonary Associates of East Tennessee, P.C. | Internal Medicine | 310 N State of Franklin Rd, Suite 303, Johnson City, TN 37604-6008 | 2006-06-21 |
| 1891780979 | Regina Frants | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2005-09-15 |
| 1619962883 | Julia A Miller | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2005-09-14 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.