WALDEN MEDICAL, PLLC (NPI# 1568657005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568657005 |
| Entity Type | Organization |
| Organization Name | WALDEN MEDICAL, PLLC |
| Practice Address |
142 South Montgomery St Walden NY 12586 |
| Practice Telephone | 8457785811 |
| Practice Fax Number | 8457785564 |
| Mailing Telephone | 8457785811 |
| Mailing Fax Number | 8457785564 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | FRANKLIN P GUNERATNE (OWNER) |
| Authorized Official Telephone | 8457785811 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 007210 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 304569 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 117499 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00373744 | 05 |
| Street Address |
142 SOUTH MONTGOMERY ST |
| City | WALDEN |
| State | NY |
| Zip Code | 12586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396098000 | A Class 1-s Transportation Corporation | Non-emergency Medical Transport (VAN) | 56 Monro Street, Walden, NY 12586 | 2012-10-18 |
| 1851572978 | Cynthia Grant | Licensed Practical Nurse | 336 Derea Rd., Walden, NY 12586 | 2007-11-16 |
| 1053495176 | Samuel Michael Cerone | Physical Therapist | 152 Orange Ave, Walden, NY 12586 | 2006-10-25 |
| 1851480883 | Faisal Uppal | Dentist | 10 Orchard St., Hampton Family Dentistry of Walden, Walden, NY 12586 | 2006-10-11 |
| 1376649335 | Lcl Physical Therapy | Physical Therapist | 152 Orange Avenue, Orange Physical Therapy, Walden, NY 12586 | 2006-09-16 |
| 1649372988 | Khanjee Pharmacy Inc | Pharmacy | 38 Grant Street, Walden, NY 12586 | 2006-09-05 |
| 1760446389 | Donald P Segal | Podiatrist | 13 Orange Ave, Walden, NY 12586 | 2006-04-12 |
| 1568939627 | Karen J Schreiber | Registered Nurse | 21 Pleasant Ave, Walden, NY 12586 | 2018-10-26 |
| 1578786109 | Yoo Seok Lee | Dentist | 57 Main Street, Walden, NY 12586 | 2007-04-11 |
| 1659444321 | Edgard Quinones | Internal Medicine | 122 East Main St, Walden, NY 12586 | 2006-11-17 |
| Find all providers in zip 12586 | ||||
| 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 |
|---|---|---|---|---|
| 1679846414 | Richard Kroner | Internal Medicine | 7 Browns Rd, Walden, NY 12586-3023 | 2012-02-09 |
| 1659444321 | Edgard Quinones | Internal Medicine | 122 East Main St, Walden, NY 12586 | 2006-11-17 |
| 1649352048 | Franklin P Guneratne | Internal Medicine | 37 Main St, Walden, NY 12586-1834 | 2006-10-19 |
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| 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.