ALLEN LAURENCE CARL (NPI# 1639174949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639174949 |
| Entity Type | Individual |
| Full Name | ALLEN LAURENCE CARL |
| Credential | M.D. |
| Practice Address |
1367 Washington Ave Ste 200 Albany NY 12206-1043 |
| Practice Telephone | 5184892666 |
| Practice Fax Number | 5184895933 |
| Mailing Telephone | 5184892666 |
| Mailing Fax Number | 5184895933 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 143645 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
143645-0 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00964094 | 05 | |
| NY | EMPIRE BC | 84G891 | 01 |
| NY | BS NENY | 000406266006 | 01 |
| NY | CDPHP | 10006085 | 01 |
| NY | MVP | 18314 | 01 |
| NY | AETNA | 4591431 | 01 |
| Street Address |
1367 WASHINGTON AVE STE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678541 | Jared Paul Kaczynski | Registered Nurse | 1367 Washington Ave, Albany, NY 12206-1069 | 2020-01-16 |
| 1669034070 | Lauren Valenty | Physician Assistant | 1367 Washington Ave, Albany, NY 12206-1069 | 2019-07-05 |
| 1093295826 | Nicole Willard | Physical Therapist | 1367 Washington Ave, Albany, NY 12206-1069 | 2018-08-21 |
| 1982078259 | Kelly Bartosik | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2015-11-24 |
| 1730585761 | Chelsea Mero | Physician Assistant | 1367 Washington Ave, Suite 200, Albany, NY 12206-1069 | 2014-11-19 |
| 1598186165 | Masha Senic | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2013-12-26 |
| 1952736373 | Kelly Molina | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2013-09-04 |
| 1831433044 | Albany Medical College | General Practice | 1367 Washington Ave, Albany, NY 12206-1069 | 2012-11-15 |
| 1720337942 | Brian Mcneaney | Physical Therapist | 1367 Washington Ave, Albany, NY 12206-1069 | 2012-09-04 |
| 1073862553 | Alyssa A Lee | Physical Therapist | 1367 Washington Ave, Albany, NY 12206 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665277 | Henry H. Barnard II | Orthopaedic Surgery | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2005-08-03 |
| 1144424524 | James Patrick Lawrence | Orthopaedic Surgery | 1367 Washington Ave, Suite 200, Albany, NY 12206-1069 | 2007-06-12 |
| 1649280397 | Robert A Cheney | Orthopaedic Surgery | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427442 | Medical Wellness Practice Pllc | Orthopaedic Surgery | 554 Tompkins Ave, Staten Island, NY 10305-1745 | 2020-11-03 |
| 1235691379 | Sny Care of Ny, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1a, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1366903676 | Spine Health Orthopaedics PC | Orthopaedic Surgery | 110 Duane St, New York, NY 10007-1126 | 2019-03-28 |
| 1902388259 | Han Jo Kim Md PC | Orthopaedic Surgery | 541 E 71st St Fl 4, New York, NY 10021-4871 | 2018-09-04 |
| 1073011342 | Joint Replacement Cin of Manhattan LLC | Orthopaedic Surgery | 420 Lexington Ave Rm 300, New York, NY 10170-0399 | 2018-01-31 |
| 1871001750 | Spine Cin of Buffalo LLC | Orthopaedic Surgery | 3725a Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1972011856 | Spine Cin of Hudson Valley LLC | Orthopaedic Surgery | 1131 Route 55 # 1a, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1699283572 | Joint Replacement Cin of Hudson Valley LLC | Orthopaedic Surgery | 1131 Route 55 # 1b, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1780071548 | Island Musculoskeletal Care Md PC | Orthopaedic Surgery | 10825 Jamaica Ave, Richmond Hill, NY 11418-2243 | 2015-04-20 |
| 1578990669 | Joseph Sae Hyun Pyun | Orthopaedic Surgery | 506 5th Ave, #2ff, Brooklyn, NY 11215-4812 | 2013-10-03 |
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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.