DR. CARL R WIRTH (NPI# 1366486367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366486367 |
| Entity Type | Individual |
| Full Name | DR. CARL R WIRTH |
| Credential | MD |
| Practice Address |
90 Carstead Dr Slingerlands NY 12159-9793 |
| Practice Telephone | 5184399417 |
| Mailing Telephone | 5184399417 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
099341 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE LICENSE | 099341 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770513392 | Carl Gustav Wirth | Dentist | 32549 Greenwood Loop, Wesley Chapel, FL 33544-5014 | 2006-07-03 |
| Street Address |
90 CARSTEAD DR |
| City | SLINGERLANDS |
| State | NY |
| Zip Code | 12159-9793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795667 | Jennifer Bannigan | Dietitian, Registered | 46 Daniel St, Slingerlands, NY 12159 | 2017-08-10 |
| 1477009082 | Miranda Alfred Lamorte | Occupational Therapy Assistant | 301 Highgate Drive, Slingerlands, NY 12159 | 2016-09-01 |
| 1083043814 | Robert George Westphal | Internal Medicine | 268 Font Grove Rd., Slingerlands, NY 12159 | 2013-11-02 |
| 1750624987 | Valerie Chen | Ophthalmology | 1220 New Scotland Rd Ste 302, Slingerlands, NY 12159 | 2013-04-06 |
| 1568707222 | St. Peter's Health Partners Medical Associates, P.C. | Physician Assistant | 1240 New Scotland Rd Suite 205, Suite 205, Slingerlands, NY 12159 | 2012-12-06 |
| 1235374166 | Joseph Concodora Farrell | Pharmacist | 1395 New Scotland Rd #176, Price Chopper Pharmacy, Slingerlands, NY 12159 | 2008-12-05 |
| 1720232747 | Michele Lynn Ryan | Community Health Worker | 43 Staffords's Xing, Slingerlands, NY 12159 | 2008-11-05 |
| 1396818027 | Virginia M Lazaro | Internal Medicine | 834 Kenwood Avenue, Slingerlands, NY 12159 | 2006-11-17 |
| 1477656080 | Michelene Sohnen | Speech-Language Pathologist | 334 Krumkill Road, Slingerlands, NY 12159 | 2006-09-07 |
| 1235231168 | Margaret Mary Grogan | Internal Medicine | 1525 New Scotland Rd, Slingerlands, NY 12159 | 2006-09-01 |
| Find all providers in zip 12159 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077760 | City Motion Orthopaedics Pllc | Orthopaedic Surgery | 51 E 25th St Fl 6, New York, NY 10010-8207 | 2020-03-05 |
| 1760967723 | William J Lackey Md PC | Orthopaedic Surgery | 153 W 27th St Ste 1101, New York, NY 10001-6251 | 2018-09-26 |
| 1427438753 | Cameron Yau | Orthopaedic Surgery | 50 E 76th St, Apt 5a, New York, NY 10021-2707 | 2015-06-02 |
| 1790027415 | Seth Korbin | Orthopaedic Surgery | Department of Orthopaedics Hsc T 18, Stony Brook University Medical Ctr, Stony Brook, NY 11794-8181 | 2013-03-20 |
| 1689973091 | Jonathan Robert Danoff | Orthopaedic Surgery | 611 Northern Blvd Ste 200, Great Neck, NY 11021-5208 | 2011-03-24 |
| 1689971434 | Dassa Orthopedic Medical Services, P.C. | Orthopaedic Surgery | 453 State Route 211 E, Middletown, NY 10940 | 2011-02-14 |
| 1215231485 | Abhijit Pawar | Orthopaedic Surgery | 400 E 71st St Apt 11-0, New York, NY 10021-4808 | 2011-01-03 |
| 1386963254 | Mcculloch Orthopaedic Surgical Services, Pllc | Orthopaedic Surgery | 12510 Queens Blvd Ste 9, Kew Gardens, NY 11415 | 2010-05-18 |
| 1194959577 | John J. Demarchi M.d., P.C. | Orthopaedic Surgery | 3673 Southwestern Blvd., Orchard Park, NY 14127-1732 | 2009-05-13 |
| 1811142367 | Amrit Goyal | Orthopaedic Surgery | 130 E 77th Street, Lenox Hill Hospital, New York, NY 10021 | 2008-11-25 |
| Find all providers with the same taxonomy | ||||
| City | SLINGERLANDS |
| Zip Code | 12159 |
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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.