ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. (NPI# 1558909234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558909234 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. |
| Practice Address |
319 South Manning Blvd Suite 310 Capital Region Colon & Rectal Surgery Albany NY 12208 |
| Mailing Address |
Po Box 14890 Albany NY 12212 |
| Practice Telephone | 5184382776 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Capital Region Colon & Rectal Surgery | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 855 Route 146, Capital Region Colon & Rectal Surgery, Clifton Park, NY 12065 | 5184382776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1477176634 | St. Peter's Health Partners Medical Associates, P.C. | Clinic/Center | 1301 River Street Suite 202, St. Peter's Obgyn At Valatie, Valatie, NY 12184-8696 | 2020-05-22 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1295211365 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 110b, Albany, NY 12208-1744 | 2018-07-12 |
| 1992227714 | St. Peter's Health Partners Medical Associates, P.C. | Dietitian, Registered | 319 South Manning Blvd Suite 307, Albany, NY 12208 | 2017-07-13 |
| 1922550011 | St. Peter's Health Partners Medical Associates, P.C. | Nutritionist | 2 New Hampshire Ave Ste 200, Troy, NY 12180-1762 | 2016-10-25 |
| 1285061721 | St. Peter's Health Partners Medical Associates, P.C. | Urology | 63 Shaker Rd Ste 202, Albany, NY 12204-1030 | 2013-09-30 |
| 1427394675 | St. Peter's Health Partners Medical Associates, P.C. | Midwife | 31 Lower Hudson Avenue, Green Island, NY 12183-1014 | 2012-12-17 |
| 1083959738 | St. Peter's Health Partners Medical Associates, P.C. | Physical Medicine & Rehabilitation | 1444 Western Ave Ste A, Albany, NY 12203-3458 | 2012-12-06 |
| 1629313382 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 1301 River Street Suite 204, Chatham Internal Medicine, Valatie, NY 12184-8696 | 2012-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. | Att: President, 315 S. Manning Blvd, Albany, Ny 12208 |
| Street Address |
319 SOUTH MANNING BLVD SUITE 310 CAPITAL REGION COLON & RECTAL SURGERY |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| 1518529577 | Lea Dikranian | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Pediatrics, Albany, NY 12208 | 2019-06-30 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215979620 | Jill C Genua | Colon & Rectal Surgery | 319 S Manning Blvd Ste 310, Albany, NY 12208-1743 | 2006-06-11 |
| 1316099880 | Gennaro Daniels | Colon & Rectal Surgery | 319 S Manning Blvd, Suite 310, Albany, NY 12208-1742 | 2007-01-17 |
| 1619029196 | Samuel Feldman | Colon & Rectal Surgery | 5 Palisades Dr, Suite 200, Albany, NY 12205-6433 | 2007-01-17 |
| 1801948377 | Garner Johnson | Colon & Rectal Surgery | 319 S Manning Blvd, Suite 310, Albany, NY 12208-1742 | 2007-01-17 |
| 1841224763 | Nora Loey Yip | Colon & Rectal Surgery | 319 South Manning Blvd, Suite 310, Albany, NY 12208-1742 | 2006-07-10 |
| 1780618603 | Capital District Colon & Rectal Surgery Assoc., P.C. | Colon & Rectal Surgery | 319 S Manning Blvd, Suite 310, Albany, NY 12208-1742 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075299 | Colorectal Surgery Services Pllc | Colon & Rectal Surgery | 2200 Northern Blvd Ste 210, Greenvale, NY 11548 | 2017-07-13 |
| 1083157309 | Gadangi Incorporated | Colon & Rectal Surgery | 2583 Ocean Ave Ste 1r, Brooklyn, NY 11229-4575 | 2016-11-18 |
| 1831468966 | Slrhc Faculity Practice | Colon & Rectal Surgery | 425 W 59th St Ste 7b, New York, NY 10019-8022 | 2011-12-19 |
| 1396027207 | Joseph David Mills Jr. | Colon & Rectal Surgery | 1150 Youngs Rd Ste 203, Williamsville, NY 14221-8024 | 2011-09-16 |
| 1386934917 | Giovanni Bonomo | Colon & Rectal Surgery | 256 Mason Ave Bldg C3, Staten Island, NY 10305-3408 | 2011-04-16 |
| 1508189226 | Garden City Colon & Rectal Surgical Practice, P.C. | Colon & Rectal Surgery | 1075 Franklin Ave., Garden City, NY 11530-2930 | 2010-03-09 |
| 1962655167 | Ilya Badalov Physician PC | Colon & Rectal Surgery | 13511 78th Dr, Flushing, NY 11367-3235 | 2008-10-31 |
| 1194981506 | Andre Da Luz Moreira | Colon & Rectal Surgery | 530 1st Ave Ste 7v, New York, NY 10016-6402 | 2008-08-05 |
| 1861671653 | Marian Fleischer | Colon & Rectal Surgery | 9707 Fourth Avenue, Brooklyn, NY 11209 | 2007-10-29 |
| 1710023031 | Advanced Colon and Rectal Surgery LLC | Colon & Rectal Surgery | 510 Broadhollow Road, Suite 307, Melville, NY 11747-3710 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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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.