MARK EDWARD OSBORN (NPI# 1689671117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689671117 |
| Entity Type | Individual |
| Full Name | MARK EDWARD OSBORN |
| Credential | M.D. |
| Practice Address |
1092 Madison Ave St. Peter's Heath Care for Children Albany NY 12208-2248 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5185252445 |
| Practice Fax Number | 5184757069 |
| Mailing Telephone | 5185255634 |
| Mailing Fax Number | 5186494094 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 173400 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Burdett Ave Fl 2, Troy, NY 121802466 | 5182727614 | |
| 315 S Manning Blvd, Albany, NY 122081707 | 5185256560 | |
| 326 S Pearl St, Albany, NY 122021914 | 5184490100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588742944 | Mark Joseph Osborn | Chiropractor | 6001 South 58th Street, Suite F, Lincoln, NE 68516-3644 | 2006-11-02 |
| 1902951551 | Mark Eliot Osborn | Dentist | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2007-01-24 |
| 1700947603 | Mark W Osborn | Family Medicine | Comdt Cg-1122, Us Coast Guard 2100 2nd. St. Sw Suite 5314, Washington, DC 20593-0001 | 2006-12-13 |
| Street Address |
1092 MADISON AVE ST. PETER'S HEATH CARE FOR CHILDREN |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015559 | Lisa Benay Kamerling | Pediatrics | 1092 Madison Ave, St. Peter's Health Care for Children, Albany, NY 12208-2248 | 2005-06-30 |
| 1093332272 | Liudmyla Kinal | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208 | 2020-07-03 |
| 1184241515 | Lauren Louie | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208-2248 | 2020-07-01 |
| 1629695069 | Nathan B Durgin | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208-2248 | 2020-07-01 |
| 1821613464 | Jonathan David Vallecorsa | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208-2248 | 2020-06-09 |
| 1457992281 | Javed Hussain Syed | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208-2248 | 2019-10-02 |
| 1578125423 | Lisenia Collazo | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208-2248 | 2019-07-01 |
| 1942796602 | Elizabeth Sciarrino | Dentist | 1092 Madison Ave, Albany, NY 12208-2248 | 2018-07-06 |
| 1952824799 | David Dahan | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208-2248 | 2017-07-24 |
| 1578949905 | Morgan Fryer | Student in an Organized Health Care Education/Training Program | 1092 Madison Ave, Albany, NY 12208-2248 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1053719302 | Leland Lamar Wince | Pediatrics | 8040 East Clifton Rd, Albany, IN 47320 | 2014-12-18 |
| 1609292697 | Kathleen Keating | Pediatrics | 1 Park Pl Ste 200, Albany, NY 12205-2676 | 2014-03-14 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1265750061 | Douglas Beaty Fair | Pediatrics | 540 Myrtle Ave, Albany, NY 12208-3303 | 2010-05-04 |
| 1962732735 | Debra Blog | Pediatrics | Bureau of Immunization New York State Dept Ofhealth, Empire State Plaza, Corning Tower, Room 649, Albany, NY 12237-0001 | 2009-12-30 |
| 1184825101 | Shirley K Catron M D Psc | Pediatrics | 701 Burkesville Rd, Albany, KY 42602-1654 | 2007-05-29 |
| 1902984784 | Donald N. Mangravite | Pediatrics | 1114 Curtis St, Albany, CA 94706-2421 | 2006-11-01 |
| 1366553901 | Tania Smith | Pediatrics | 600 Pointe North Blvd, Albany, GA 31721-1513 | 2006-08-31 |
| 1861409435 | Cajsa Jane Schumacher | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-03 |
| Find all providers in ALBANY | ||||
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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.