CAPITAL REGION OTOLARYNGOLOGY HEAD & NECK GROUP (NPI# 1548526726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548526726 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION OTOLARYNGOLOGY HEAD & NECK GROUP |
| Practice Address |
2001 5th Ave Troy NY 12180 |
| Practice Telephone | 5182744110 |
| Mailing Telephone | 5182744110 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |
| Authorized Official Name | MICHAEL DEVITO (PARTNER) |
| Authorized Official Telephone | 5184829111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497020507 | Capital Region Otolaryngology Head & Neck Group | Specialist | 963 Route 146, Clifton Park, NY 12065-3636 | 2012-03-22 |
| 1033484142 | Capital Region Otolaryngology Head & Neck Group | Specialist | 2 Sherman Potts Dr, Ghent, NY 12075-3216 | 2012-03-22 |
| Street Address |
2001 5TH AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528034105 | Stephanie Kugler | Dietitian, Registered | 2001 5th Ave, 3rd Floor, Troy, NY 12180-3340 | 2006-02-24 |
| 1811435217 | Laurie Lavin | Nurse Practitioner | 2001 5th Ave, Troy, NY 12180-3482 | 2017-02-06 |
| 1144762725 | Shirley Hernandez | Social Worker | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2016-11-14 |
| 1578915765 | Heather Harris | Nurse Practitioner | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2016-07-12 |
| 1689045304 | Altanah Miriam Corelli | Dietitian, Registered | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2015-10-08 |
| 1942676218 | Leah Esther- Simone Hallow | Psychologist | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2015-08-20 |
| 1114340510 | Upstate Physician Services, PC | Psychologist | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2014-01-22 |
| 1487942975 | Stephanie Willoughby | Nurse Practitioner | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2011-07-18 |
| 1053540351 | Mustafain Y Meghani | Internal Medicine | 2001 5th Ave, Suite 110, Troy, NY 12180-3482 | 2009-07-08 |
| 1235380809 | Pediatric Associates of Troy Pllc | Clinic/Center | 2001 5th Ave, Troy, NY 12180-3340 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669957510 | Deandra Perez | Specialist | 16 Blakley Ct Fl 1, Troy, NY 12180-5820 | 2018-09-26 |
| 1538677588 | Peak Neurophysiology Group, LLC | Specialist | 13 Stoneledge Dr Apt 11, Troy, NY 12182-3519 | 2018-01-11 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1891230454 | Pure Healthy Back | Specialist | 1500 W Big Beaver Rd Ste 150, Troy, MI 48084-3552 | 2017-01-05 |
| 1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
| 1992100358 | Catherine Rinella | Specialist | 1098 Spring Avenue Ext, Troy, NY 12180-7313 | 2014-10-28 |
| 1518383256 | Jennifer Bobersky | Specialist | 3 Patricia Dr, Troy, NY 12180-6132 | 2014-03-05 |
| 1699103796 | Helen Rezey | Specialist | 6 Greene St, Troy, NY 12180-6720 | 2013-10-29 |
| 1346591641 | Robin Jean Kennedy | Specialist | 597 Third Ave., Troy, NY 12182 | 2012-09-26 |
| 1770834210 | Andrew Mcnally | Specialist | 3226 Veterans Stadium Dr, Troy, AL 36082-0001 | 2012-09-24 |
| Find all providers in TROY | ||||
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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.