DR. RICHARD YAN (NPI# 1306959812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306959812 |
| Entity Type | Individual |
| Full Name | DR. RICHARD YAN |
| Credential | M.D. |
| Practice Address |
700 Mcclellan St Schenectady NY 12304-1019 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183725637 |
| Practice Fax Number | 5183553996 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 161257 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 070124000080 | 01 |
| NY | MVP | 26256 | 01 |
| NY | GHI/HMO | 47371 | 01 |
| NY | EMPIRE BC | 571281 | 01 |
| NY | 01160232 | 05 | |
| NY | CDPHP | 10031234 | 01 |
| NY | SENIOR WHOLE HEALTH | 200182 | 01 |
| NY | BSNENY | 000493509001 | 01 |
| NY | AETNA | 7845588 | 01 |
| Street Address |
700 MCCLELLAN ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932166295 | Scott J Pickett | Podiatrist | 700 Mcclellan St, Suite 203, Schenectady, NY 12304-1019 | 2006-04-28 |
| 1780060350 | Susan A Kessler, Md, Pllc | Ophthalmology | 700 Mcclellan St, Suite 102, Schenectady, NY 12304-1019 | 2015-08-06 |
| 1073995064 | Tristin Cadle | Nurse Practitioner | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2015-06-25 |
| 1093138208 | Leonard F Combi | Specialist | 700 Mcclellan St, Suite 104, Schenectady, NY 12304-1019 | 2014-01-23 |
| 1407289077 | Upstate Podiatry Services | Durable Medical Equipment & Medical Supplies | 700 Mcclellan St, Suite 203, Schenectady, NY 12304-1019 | 2013-08-18 |
| 1770823973 | Schenectady Ent Pllc | Otolaryngology | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2013-02-25 |
| 1679836605 | Kristina M Clark | Registered Nurse | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2012-06-25 |
| 1033470141 | Susan A Kessler Md | Ophthalmology | 700 Mcclellan St, Suite 102, Schenectady, NY 12304-1019 | 2012-06-05 |
| 1952501793 | Susan Smith Woods | Psychologist | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2007-07-19 |
| 1942339486 | Philip Anthony Fraterrigo | Ophthalmology | 700 Mcclellan St, St. Clare's Medical Arts Building, Schenectady, NY 12304-1019 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1891860102 | Dai Mook Lim | Pediatrics | 1370 Union Street, Schenectady, NY 12308-3017 | 2006-11-21 |
| 1811925019 | Bradley Alan Ford | Pediatrics | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2006-06-28 |
| 1588624829 | Nam Soo Lee | Pediatrics | 1726 Campbell Ave, Schenectady, NY 12306 | 2006-03-23 |
| 1063496768 | Hadi Koohsari | Pediatrics | 701 Union St, Schenectady, NY 12305-1504 | 2005-12-06 |
| 1528420700 | Samantha Ann Barden | Pediatrics | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2016-03-25 |
| 1548543812 | Community Care Physicians, PC | Pediatrics | 700 Mcclellan Street, Schenectady, NY 12304-1019 | 2011-09-23 |
| 1518193606 | Fayanne Maria Fraser | Pediatrics | 1044 State St, Schenectady, NY 12307-1508 | 2009-06-03 |
| 1255349916 | Margaret M Woods | Pediatrics | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2006-08-04 |
| 1841208634 | Norbert J Woods | Pediatrics | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2006-08-04 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
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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.