DR. YEKATERINA A KASHTANOVA


Address: 1450 Champlin Ave, Utica, NY 13502-3662
Phone: 3156249000

DR. YEKATERINA A KASHTANOVA (NPI# 1669692638) 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) 1669692638
Entity Type Individual
Full Name DR. YEKATERINA A KASHTANOVA
Credential MD
Practice Address 1450 Champlin Ave
Utica
NY 13502-3662
Mailing Address Po Box 602
New Hartford
NY 13413-0602
Practice Telephone 3156249000
Practice Fax Number 3156249003
Mailing Telephone 3156248100
Mailing Fax Number 3156248105
Enumeration Date 2007-05-01
Last Update Date 2019-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
238607 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02881107 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1676 Sunset Ave, Utica, NY 135025416 3156248100 3156248105

Office Location

Street Address 1450 CHAMPLIN AVE
City UTICA
State NY
Zip Code 13502-3662

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790776268 Diane M Scalise Nurse Practitioner 1450 Champlin Ave, Utica, NY 13502-3662 2005-11-02
1225656648 Casey Lynn Kilborne Nurse Practitioner 1450 Champlin Ave, Utica, NY 13502-3662 2020-07-13
1174036867 Marjorie Naples Dietitian, Registered 1450 Champlin Ave, Utica, NY 13502-3662 2017-11-16
1336570589 Sleep Disorders Lab of Central New York, LLC Sleep Specialist, PhD 1450 Champlin Ave, Suite 1, Utica, NY 13502-3662 2013-12-12
1194080291 Pulmonary Critical Care and Sleep Medicine Pllc Internal Medicine 1450 Champlin Ave, Utica, NY 13502-3662 2012-07-05
1750689451 Kamrul A. Khan Psychiatry & Neurology 1450 Champlin Ave, Utica, NY 13502-3662 2011-03-03
1376707521 Anwar Wassel Internal Medicine 1450 Champlin Ave, Utica, NY 13502-3662 2008-07-16
1104098631 Helen M Dolan Registered Nurse 1450 Champlin Ave, Utica, NY 13502-3662 2008-03-25
1487773461 Dawn Marie Bard Pediatrics 1450 Champlin Ave, Utica, NY 13502-3662 2007-03-28
1841346111 Karen Burns Griffith Pediatrics 1450 Champlin Ave, Utica, NY 13502-3662 2007-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477152627 Mary Imogene Bassett Hospital Pharmacy 231 N Genesee St Fl 2, Utica, NY 13502 2020-10-20
1922635002 Beth Ann Laporte Social Worker Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 2020-03-26
1689216038 Mary Ann Stockhauser Dietitian, Registered 917 Newport Rd, Utica, NY 13502 2019-10-16
1538659719 Brenda Ann Cruse-malone Social Worker Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 2018-05-14
1184138265 Genesee Street Medical Health Psychiatry & Neurology 286 Genesee St Ste 5, Utica, NY 13502 2017-11-28
1518470244 Jeff Rohacek Counselor 1213 Court St., Suite 100, Utica, NY 13502 2017-11-16
1275044281 Adam C Schwartz Counselor 122 Business Park Drive, Suite 1, Utica, NY 13502 2017-10-17
1346767175 Jordynn Lynn Lee Licensed Practical Nurse 910 Mildred Ave, Utica, NY 13502 2017-08-23
1942751391 Amanda Karla Counselor 502 Court Street Suite 210, Utica, NY 13502 2016-10-20
1407229974 Hayley Hunt Physician Assistant 1658 Champlin Ave, Suite 335, Utica, NY 13502 2015-11-05
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023047552 Emile Wassel Internal Medicine 1450 Champlin Ave Ste 1, Utica, NY 13502 2006-06-30
1699796623 Kidney and Hypertension Consultant, Pllc Internal Medicine 1676 Sunset Ave, Suite 401, Utica, NY 13502-5416 2006-07-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275171472 Health Quest Medical Practice, PC Internal Medicine 667 Stoneleigh Ave Ste 123, Carmel, NY 10512-2455 2019-12-18
1881255370 Marc J Yunis Md PC Internal Medicine 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 2019-06-25
1750841953 Live Well Medical Care, PC Internal Medicine 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 2019-03-22
1124509278 Andre Francis Charest Internal Medicine 462 Grider St Fl 11, Buffalo, NY 14215-3021 2018-08-27
1760960132 Hn&d Company LLC Internal Medicine 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 2018-07-30
1669979720 Ambreen Azhar Internal Medicine St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 2018-04-06
1659898443 Broadway Medical Care, P.C. Internal Medicine 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 2017-08-23
1023539590 Ismail Omran Internal Medicine 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 2017-07-05
1932636636 Marco Bonilla Internal Medicine 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 2017-05-12
1386190676 Mubasshar Rehman Internal Medicine Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 2016-08-28
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City UTICA
Zip Code 13502

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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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