MIROSLAV VYTRISAL (NPI# 1629294624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629294624 |
| Entity Type | Individual |
| Full Name | MIROSLAV VYTRISAL |
| Credential | M.D. |
| Practice Address |
427 Guy Park Ave Amsterdam NY 12010-1054 |
| Mailing Address |
17 Worden St Johnstown NY 12095-3402 |
| Practice Telephone | 5188401900 |
| Mailing Telephone | 5183915245 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
427 GUY PARK AVE |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914043 | Kathleen Ann Miller | Dietitian, Registered | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2005-07-06 |
| 1730792748 | Melissa Kopf | Dietitian, Registered | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2020-08-28 |
| 1982241030 | Regina Marie Breton | Physical Medicine & Rehabilitation | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2019-12-09 |
| 1548806367 | Karen Mcgillin | Physical Therapist | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2019-11-27 |
| 1750871083 | David A Ermacor | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2018-05-11 |
| 1871025007 | Anjan Venkata Marella | Psychiatry & Neurology | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2017-03-28 |
| 1730628751 | Elisabeth Ryan Penree | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2017-02-23 |
| 1932656089 | Kathryn Kuebler | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2016-09-07 |
| 1013463686 | Chelsea Centurioni | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2016-09-01 |
| 1912368432 | St Mary's Hospital | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2016-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689061194 | Koos Edzo Hovinga | General Acute Care Hospital | Middenweg 104, Amsterdam, NOORD-HOLLAND 1097BT | 2015-04-22 |
| 1831790369 | St. Mary's Healthcare | General Acute Care Hospital | 4950 State Highway 30, Amsterdam, NY 12010-7520 | 2020-11-02 |
| 1912368432 | St Mary's Hospital | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2016-03-10 |
| 1326473646 | St. Mary's Healthcare | General Acute Care Hospital | 427 Guy Park Ave, Corporate Responsibility Legal Dept., Amsterdam, NY 12010-1054 | 2013-09-05 |
| 1649539446 | St. Mary's Healthcare | General Acute Care Hospital | 4988 State Highway 30, Amsterdam, NY 12010-7520 | 2012-05-14 |
| 1518926401 | St Marys Healthcare | General Acute Care Hospital | 427 Guy Park Ave, St Marys Healthcare Primary Care Dept, Amsterdam, NY 12010-1054 | 2006-03-21 |
| 1811977796 | St. Mary's Healthcare | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
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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.