MAKENZI COLLEEN EVANGELIST (NPI# 1578724126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578724126 |
Entity Type | Individual |
Full Name | MAKENZI COLLEEN EVANGELIST |
Credential | M.D. |
Practice Address |
43 New Scotland Ave Mail Code 7 Albany NY 12208-3412 |
Practice Telephone | 5182626696 |
Practice Fax Number | 5182626770 |
Mailing Telephone | 5182626696 |
Mailing Fax Number | 5182626770 |
Enumeration Date | 2008-06-17 |
Last Update Date | 2019-03-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
262155 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03356278 | 05 |
Street Address |
43 NEW SCOTLAND AVE MAIL CODE 7 |
City | ALBANY |
State | NY |
Zip Code | 12208-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124022181 | Florence Elizabeth Tharman | Audiologist-Hearing Aid Fitter | 43 New Scotland Ave, Albany, NY 12208-3412 | 2005-06-08 |
1154922805 | Jonathan David Lachance | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-11-07 |
1871194886 | Adam Andrews | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-05 |
1740881747 | Alexander Igoe | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-05 |
1104425495 | Rachael Debra Gardner | Family Medicine | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-10-19 |
1033717459 | Roxanne N Sokaris | Registered Nurse | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-10-16 |
1972100915 | Lalainya Marie O'connell | Pediatrics | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-10-02 |
1003421033 | Kelly N Miles | Registered Nurse | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-09-15 |
1366057606 | Melissa Falzon | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-09-14 |
1124630413 | Mason Mcdermott | Occupational Therapist | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-08-19 |
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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 |
1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
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 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003171778 | Rahul Ravilla | Internal Medicine | 43 New Scotland Ave Ste 7, Albany, NY 12208-3412 | 2012-07-09 |
1932292653 | Syed Arzoo Mehdi | Internal Medicine | 113, Holland Avenue, Iii-k, Hem/onc, Vamc, Albany Va, Albany, NY 12208 | 2006-10-02 |
1225072846 | Phoebe Putney Memorial Hospital | Internal Medicine | 507 W 3rd Ave, Ste 100, Albany, GA 31701-1958 | 2006-06-15 |
1649241829 | Kumud Sharma Rangaraj | Internal Medicine | 427 W 3rd Ave, Suite 100, Albany, GA 31701-1975 | 2006-01-27 |
1245527670 | David Sam Kotlyar | Internal Medicine | 317 S Manning Blvd Ste 220, Albany, NY 12208-3909 | 2011-07-06 |
1033405154 | Nischala Ammannagari | Internal Medicine | 400 Patroon Creek Blvd Ste 1, Albany, NY 12206-5014 | 2011-06-27 |
1700013943 | Madhavi Latha Reddy Kambam | Internal Medicine | 43 New Scotland Ave, Mc 7, Albany, NY 12208-3412 | 2009-06-15 |
1427292812 | Andrea Spaulding Teague | Internal Medicine | 47 New Scotland Ave, Albany, NY 12208-3412 | 2009-04-29 |
1790929529 | Courtney M Bellomo | Internal Medicine | 43 New Scotland Ave, Mc 7, Albany, NY 12208-3412 | 2009-04-23 |
1235306028 | Ami Miten Negandhi | Internal Medicine | 43 New Scotland Ave # 7, Albany, NY 12208-3412 | 2008-05-12 |
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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.