DR. THEODORE ZELTNER (NPI# 1508955980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508955980 |
| Entity Type | Individual |
| Full Name | DR. THEODORE ZELTNER |
| Credential | MD |
| Practice Address |
920 Lark Dr Albany NY 12207-1300 |
| Practice Telephone | 5185555555 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 128116 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00543182 | 05 |
| Street Address |
920 LARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12207-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009685 | Kallanna Manjunath | Pediatrics | 920 Lark Dr, Albany, NY 12207-1300 | 2005-11-02 |
| 1851901086 | Latasha Powell | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-08-03 |
| 1538792833 | Jennifer Lynn Mcbain | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2020-02-15 |
| 1245871995 | Sara Vogel | Pharmacist | 920 Lark Dr, Albany, NY 12207-1300 | 2019-10-03 |
| 1780249250 | Kristey Marie Palmisano | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2019-05-09 |
| 1306300041 | Laquanya Haggray | Counselor | 920 Lark Dr, Albany, NY 12207-1300 | 2019-01-28 |
| 1144792904 | Mackenzie Meyer Berrus | Physician Assistant | 920 Lark Dr, Albany, NY 12207-1398 | 2018-12-18 |
| 1912491002 | Sally Fay Delory | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2018-06-21 |
| 1366956906 | Melissa Seaman Feltman | Nurse Practitioner | 920 Lark Dr, Albany, NY 12207-1300 | 2017-11-17 |
| 1770004095 | Shannon M Craig | Social Worker | 920 Lark Dr, Albany, NY 12207-1300 | 2017-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
| 1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
| 1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
| 1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
| 1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
| 1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
| 1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
| Find all providers in zip 12207 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1659931848 | Hala Elfaki | Internal Medicine | 10 Callaway Circle, Loudonville, Albany, NY 12211-1221 | 2019-06-19 |
| 1447720271 | Paul E Lemanski Md Pllc | Internal Medicine | 2 Executive Park Dr Ste 1, Albany, NY 12203-3700 | 2018-12-05 |
| 1528595147 | Asha Pandu | Internal Medicine | 178 Washington Avenue Ext # Mc-58, Albany, NY 12203-5304 | 2017-05-13 |
| 1720531080 | Hania Shahid | Internal Medicine | 47 New Scotland Avenue, Dept of Internal Medicine, Albany, NY 12208-3412 | 2016-08-03 |
| 1376995431 | Asad Ullah | Internal Medicine | 47 New Scotland Ave # Mc-17, Albany, NY 12208-3412 | 2016-07-12 |
| 1831552397 | Mukund Madhaw Das | Internal Medicine | St. Peter's Hospital of The City of Albany, Hospitalist Department 315 So Manning Blvd, Albany, NY 12208 | 2016-04-01 |
| 1295128619 | Erik Rueckert | Internal Medicine | 400 Hickory St Nw # 300, Albany, OR 97321-1700 | 2015-03-10 |
| 1003207978 | Emmanuelle Cordero Torres | Internal Medicine | 47 New Scotland Ave Dept of Nephrology, Albany Medical Center, Albany, NY 12208 | 2015-02-12 |
| 1376944348 | Ravi Vuthoori | Internal Medicine | 43 New Scotland Ave # Mc-50, Albany, NY 12208-3412 | 2014-09-10 |
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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.