PETR BEZDICEK (NPI# 1528047057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528047057 |
| Entity Type | Individual |
| Full Name | PETR BEZDICEK |
| Credential | MD |
| Practice Address |
70 Hatfield Ln Suite 101 Goshen NY 10924-6734 |
| Mailing Address |
Po Box 809 Goshen NY 10924-0809 |
| Practice Telephone | 8452948888 |
| Practice Fax Number | 8452941669 |
| Mailing Telephone | 8452948888 |
| Mailing Fax Number | 8452941669 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 223433 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
223433 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
223433 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02238360 | 05 | |
| NY | RAILROAD MEDICARE | 290014566 | 01 |
| Street Address |
70 HATFIELD LN SUITE 101 |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-6734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458679 | Michael H Finck | Internal Medicine | 70 Hatfield Ln, Ste 204, Goshen, NY 10924-6735 | 2005-06-22 |
| 1669784773 | Healthspine and Anesthesia Institute | Anesthesiology | 70 Hatfield Ln, Goshen, NY 10924-6734 | 2010-07-06 |
| 1659699015 | Aleksey Kuklov | Anesthesiology | 70 Hatfield Ln, Suite 201, Goshen, NY 10924-6734 | 2010-05-11 |
| 1386978674 | Carolyn Robertson | Nurse Practitioner | 70 Hatfield Ln, Ste 204, Goshen, NY 10924-6734 | 2009-09-21 |
| 1750558540 | Robert Aaron Lehmann | Student in an Organized Health Care Education/Training Program | 70 Hatfield Ln, Suite 101, Goshen, NY 10924-6734 | 2008-05-12 |
| 1992825632 | Ourania Walraven | Nurse Practitioner | 70 Hatfield Ln, Suite 203, Goshen, NY 10924-6734 | 2007-03-29 |
| 1104958909 | Aviva Frommer | Physician Assistant | 70 Hatfield Ln, Suite 204, Goshen, NY 10924-6734 | 2007-03-09 |
| 1053451419 | Orange Cardiology, Pllc | Specialist | 70 Hatfield Ln, Suite 203, Goshen, NY 10924-6734 | 2007-02-07 |
| 1982797023 | Joseph Michael Vella | Pathology | 70 Hatfield Ln, Suite 205, Goshen, NY 10924-6734 | 2006-10-02 |
| 1598774978 | Monroe Area Medical Associates, PC | Internal Medicine | 70 Hatfield Ln, Suite 204, Goshen, NY 10924-6734 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| 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 |
|---|---|---|---|---|
| 1649383712 | Yatin J Patel | Internal Medicine | 2417 S Berkshire Rd, Goshen, IN 46526-6815 | 2006-08-16 |
| 1255310678 | Alan Edward Schaffer | Internal Medicine | 70 Hatfield Ln, Suite 101, Goshen, NY 10924-6734 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1699284281 | Long Island Pulmonary Rehabilitation PC | Internal Medicine | 326 W Neck Rd, Huntington, NY 11743-1725 | 2017-09-26 |
| 1124478987 | Islandwide Medical Pllc | Internal Medicine | 275 Helm Ln, Bay Shore, NY 11706-8118 | 2016-06-13 |
| 1578968657 | Pulmonary and Sleep Medical PC | Internal Medicine | 2523 Avenue O, Brooklyn, NY 11210-5230 | 2014-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1982027744 | Osvaldo Fulco | Internal Medicine | 120 Turtle Cove Ln, Huntington, NY 11743-3858 | 2014-01-30 |
| 1174865315 | Harish Patel Pulmonary & Sleep, Pllc | Internal Medicine | 132 Saint Nicholas Ave, Brooklyn, NY 11237-4034 | 2013-03-26 |
| 1417299934 | Peter Stangel | Internal Medicine | 512 Devries Ct, Piermont, NY 10968-1068 | 2013-03-22 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
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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.