MAKENZI COLLEEN EVANGELIST


Address: 43 New Scotland Ave, Mail Code 7, Albany, NY 12208-3412
Phone: 5182626696

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
262155 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 03356278 05

Office Location

Street Address 43 NEW SCOTLAND AVE
MAIL CODE 7
City ALBANY
State NY
Zip Code 12208-3412

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 12208

Improve Information

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Dataset Information

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.

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