KIMBERLY CLARE (NPI# 1689642852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689642852 |
| Entity Type | Individual |
| Full Name | KIMBERLY CLARE |
| Credential | M.D. |
| Practice Address |
1 Webster Ave Suite 302 Poughkeepsie NY 12601-1361 |
| Practice Telephone | 8454835852 |
| Practice Fax Number | 8454835413 |
| Mailing Telephone | 8454835852 |
| Mailing Fax Number | 8454835413 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
2183061 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1 WEBSTER AVE SUITE 302 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500205 | Andrew Jon Chernack | Family Medicine | 1 Webster Ave, Suite 301, Poughkeepsie, NY 12601-1361 | 2005-07-01 |
| 1255757928 | University Orthopaedics,pc | Orthopaedic Surgery | 1 Webster Ave, Suite 502, Poughkeepsie, NY 12601-1361 | 2014-03-05 |
| 1235552456 | Megan Wright | Nurse Practitioner | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2014-01-23 |
| 1255612990 | Carolynn Lavigne | Physical Therapy Assistant | 1 Webster Ave, Suite 401, Poughkeepsie, NY 12601-1361 | 2011-09-08 |
| 1811294465 | William J. Senisi, M.d. P.C. | Ophthalmology | 1 Webster Ave, Suite 306, Poughkeepsie, NY 12601-1361 | 2011-02-17 |
| 1417289307 | Mid Hudson Neurosurgical Specialist, PC | Psychiatry & Neurology | 1 Webster Ave, Suite 307, Poughkeepsie, NY 12601-1361 | 2010-02-03 |
| 1720314347 | Maren Ryan Degroat | Massage Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2009-11-02 |
| 1205007549 | Gingrich Oncology Pllc | Internal Medicine | 1 Webster Ave, Poughkeepsie, NY 12601-1361 | 2008-03-14 |
| 1205011749 | Lorraine Gogreve | Occupational Therapist | 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 | 2008-01-03 |
| 1578744280 | Arnold Goran, Md Pllc | Specialist | 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 | 2007-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497723878 | Joseph Malak | Pediatrics | 207 Washington St, Suite 103, Poughkeepsie, NY 12601-8111 | 2006-03-10 |
| 1558322958 | Christian Hietanen | Pediatrics | 1 Webster Ave, Suite 302, Poughkeepsie, NY 12601-1361 | 2006-03-28 |
| 1992766307 | Marie-michele Constant | Pediatrics | 1 Webster Ave, Suite 302, Poughkeepsie, NY 12601-1361 | 2006-03-28 |
| 1114996253 | Jospeh Calabro | Pediatrics | 1 Webster Ave, Suite 302, Poughkeepsie, NY 12601-1361 | 2006-03-14 |
| 1205804770 | Tlc Pediatrics | Pediatrics | 1 Webster Ave, Suite 302, Poughkeepsie, NY 12601-1361 | 2006-03-10 |
| 1922076397 | Parvaneh Borojeni | Pediatrics | 1 Webster Ave, Suite 302, Poughkeepsie, NY 12601-1361 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.