DR. TEDDY D PAN (NPI# 1609847979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609847979 |
| Entity Type | Individual |
| Full Name | DR. TEDDY D PAN |
| Credential | MD |
| Practice Address |
105 Everett Rd Colonie NY 12205-1407 |
| Practice Telephone | 5186940999 |
| Mailing Telephone | 5186940999 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2017-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
239724-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
105 EVERETT RD |
| City | COLONIE |
| State | NY |
| Zip Code | 12205-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982894101 | Kelly Jo Vollmer | Physician Assistant | 105 Everett Rd, Colonie, NY 12205-1407 | 2007-07-25 |
| 1821164096 | Pan Dermatology, PC | Dermatology | 105 Everett Rd, Colonie, NY 12205-1407 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821164096 | Pan Dermatology, PC | Dermatology | 105 Everett Rd, Colonie, NY 12205-1407 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541853 | Syed Morteza Abedi | Dermatology | 70 4th Pl, Apt. 2b, Brooklyn, NY 11231-4070 | 2016-07-01 |
| 1255670139 | Lewis Shapiro | Dermatology | 10 City Place - 14a, White Plains, NY 10601-3341 | 2013-02-12 |
| 1265673495 | Dr Miriam N Casal M D P C | Dermatology | 37-42 St, Jackson Heights, NY 11372 | 2009-03-18 |
| 1336343268 | Metro Dermatology of Ny,pc | Dermatology | 14472 Northern Blvd Ste 203, Flushing, NY 11354-4231 | 2007-06-13 |
| 1730213943 | Sutton Place Dermatology, P.C. | Dermatology | 445 East 58th Street, New York, NY 10022 | 2007-03-16 |
| 1346258241 | Muhlbauer Dermatopathology PC | Dermatology | 61 Monroe Avenue, Suite B, Pittsford, NY 14534 | 2006-08-04 |
| 1720057979 | Miriam Norma Casal | Dermatology | 3742 77th St, Jackson Heights, NY 11372-6630 | 2006-03-17 |
| 1487633970 | Wojciech Szaniawski | Dermatology | 100 Midland Ave, Port Chester, NY 10573-4943 | 2006-01-12 |
| 1912983321 | Mindy Diane Clark | Dermatology | 228 Park Ave S Ste 22156, New York, NY 10003-1502 | 2005-12-16 |
| 1386646693 | Martin H Brownstein | Dermatology | 2 N Plandome Rd, Port Washington, NY 11050-3443 | 2005-06-01 |
| 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.