LARRY S CHARLAMB (NPI# 1376541730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376541730 |
| Entity Type | Individual |
| Full Name | LARRY S CHARLAMB |
| Credential | MD |
| Practice Address |
5112 W Taft Rd Ste J Liverpool NY 13088-4866 |
| Mailing Address |
510 Towne Dr Fayetteville NY 13066-1331 |
| Practice Telephone | 3157012170 |
| Practice Fax Number | 3157012185 |
| Mailing Telephone | 3156630500 |
| Mailing Fax Number | 3156630514 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
179424 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01559282 | 05 |
| Street Address |
5112 W TAFT RD STE J |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-4866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619527 | Justin M Kurtz | Nurse Practitioner | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2019-06-28 |
| 1316202526 | Michelle L. Depalmo | Nurse Practitioner | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2012-07-13 |
| 1871727297 | Dana Christopher Aiello | Internal Medicine | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2009-05-13 |
| 1821098625 | Matthew S Ohern | Internal Medicine | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2005-07-22 |
| 1669470951 | Lauren C Derrick | Nurse Practitioner | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1063431351 | Muhammad M. Abdel Migeed | Internal Medicine | 4820 W Taft Rd Ste 209, Liverpool, NY 13088-2806 | 2006-07-18 |
| 1730175241 | Alessandro Giambartolomei | Internal Medicine | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-21 |
| 1366438871 | Peter P Huntington | Internal Medicine | 7246 Janus Park Dr, Cardiac Rehab, Liverpool, NY 13088-4839 | 2005-09-21 |
| 1730180589 | Charles Perla | Internal Medicine | 5112 W Taft Rd Ste 4j, Liverpool, NY 13088-4868 | 2005-08-02 |
| 1023015500 | Jody S Bleier | Internal Medicine | 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 | 2005-06-30 |
| 1871727297 | Dana Christopher Aiello | Internal Medicine | 5112 W Taft Rd Ste J, Liverpool, NY 13088-4866 | 2009-05-13 |
| 1104039742 | Hooman Ranjbaran-jahromi | Internal Medicine | 4820 W Taft Rd, #209, Liverpool, NY 13088-2800 | 2007-05-08 |
| 1760470900 | Nelly Yacoub Kazzaz | Internal Medicine | 4820 W Taft Rd, Suite 201, Liverpool, NY 13088-2800 | 2005-10-12 |
| 1578559381 | Anthony R Watson | Internal Medicine | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-27 |
| 1972599728 | Ayman Iskander | Internal Medicine | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-26 |
| Find all providers in LIVERPOOL | ||||
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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.