MARYELLEN KING (NPI# 1528298437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528298437 |
Entity Type | Individual |
Full Name | MARYELLEN KING |
Credential | NP |
Practice Address |
7 Southwoods Blvd Capital Cardiology Associates, PC Albany NY 12211-2526 |
Practice Telephone | 5182926000 |
Practice Fax Number | 5182926050 |
Mailing Telephone | 5182926000 |
Mailing Fax Number | 5182926050 |
Enumeration Date | 2009-07-27 |
Last Update Date | 2017-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F305210 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03301140 | 05 | |
VT | 1029964 | 05 | |
MA | 110121412A | 05 |
Street Address |
7 SOUTHWOODS BLVD CAPITAL CARDIOLOGY ASSOCIATES, PC |
City | ALBANY |
State | NY |
Zip Code | 12211-2526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356345326 | Michael Paul Bernstein | Internal Medicine | 7 Southwoods Blvd, Capital Cardiology Associates PC, Albany, NY 12211-2526 | 2005-06-08 |
1598373482 | Validus Medical, PC | Anesthesiology | 7 Southwoods Blvd, 3rd Floor Capital Cardiology, Albany, NY 12211-2526 | 2020-07-17 |
1134753577 | Alexandra K Drzymalski | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2020-02-25 |
1679122782 | Alyssa Hare | Physician Assistant | 7 Southwoods Blvd, Albany, NY 12211 | 2019-09-11 |
1568928737 | Rebecca Lynn Stiles | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2019-02-13 |
1508347618 | Jesuit P Nugas | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2018-08-27 |
1497113856 | Melissa A Raduazzo | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2016-02-01 |
1043688112 | Darshaney D Sankhar | Nurse Practitioner | 7 Southwoods Blvd, Capital Cardiology Associates PC, Albany, NY 12211-2526 | 2015-09-08 |
1942616552 | Jenna Fabozzi | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2014-07-02 |
1184066870 | Amanda Schaffer | Physician Assistant | 7 Southwoods Blvd, Albany, NY 12211 | 2013-07-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578086260 | Karen E Canniff | Nurse Practitioner | 7 Southwoods, Blvdcapital Cardiology Associates, PC, Albany, NY 12211 | 2017-07-25 |
1881931335 | Arvinder Singh | Anesthesiology | 12 Fenway Drive, Albany, NY 12211 | 2013-01-03 |
1174795694 | Quik Flight | Ambulance | 16 Jetway Drive, Albany, NY 12211 | 2008-03-25 |
1164543732 | Judith C Tate | Psychologist | 46 Green Meadows Lane, Loudonville, NY 12211 | 2007-04-02 |
1942305776 | Christopher J Lyons | Dentist | 476 Albany Shaker Rd, Loudonville, NY 12211 | 2006-09-14 |
1831293562 | Antonio Boncordo | Dentist | 515 1/2 Albany Shaker Rd, Loudonville, NY 12211 | 2006-09-12 |
1417060575 | Laura Rodolakis | Nurse Practitioner | Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 | 2006-08-15 |
1326524331 | Anthony Jones Md | Skilled Nursing Facility | 780 Albany Shaker Rd, Albany, NY 12211 | 2018-07-12 |
1366943755 | Colleen M O'keeffe | Nurse Practitioner | Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 | 2018-02-22 |
1285907998 | Michelle G Vasilakis | Speech-Language Pathologist | 30 Southgate Rd, Loundonville, NY 12211 | 2012-02-13 |
Find all providers in zip 12211 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699231324 | Veronica Carlevale Roddy | Nurse Practitioner | 23 Hackett Blvd # Mc208, Albany, NY 12208-3436 | 2019-02-19 |
1174002646 | Haeyoung Chong | Nurse Practitioner | 319 S Manning Blvd Ste 202, Albany, NY 12208-1743 | 2018-08-07 |
1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
1366874208 | Cheryl Gervin-clark | Nurse Practitioner | 2318 Pearce Ave, Albany, GA 31705-3312 | 2013-08-02 |
1689844839 | Tanya M Sommers | Nurse Practitioner | 33 W Dillenbeck Dr, Albany, NY 12203-3404 | 2008-03-04 |
1659553097 | Judy Stamper | Nurse Practitioner | 315 Sw 4th, Albany, OR 97321-3769 | 2007-11-28 |
1275658627 | Samara M Gabree | Nurse Practitioner | 100 Slingerland St, Albany, NY 12202-1229 | 2007-03-21 |
1992888036 | Children First Kidmed | Nurse Practitioner | 19115 Florida Blvd Ste A, Albany, LA 70711-3701 | 2006-10-23 |
1720172422 | Judy Kelly Shaw | Nurse Practitioner | 113 Holland Ave, Mc 111d, Vamc, Albany, NY 12208 | 2006-10-03 |
1841303500 | Mary Elizabeth Mcconihe | Nurse Practitioner | 113 Holland Ave., Samuel Stratton Va Medical Center, Albany, NY 12208 | 2006-08-16 |
Find all providers in ALBANY |
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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.