PHOEBE PUTNEY MEMORIAL HOSPITAL (NPI# 1689797441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689797441 |
| Entity Type | Organization |
| Organization Name | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Other Organization Name | NEONATAL MEDICINE |
| Practice Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Mailing Address |
Po Box 2548 Albany GA 31702-2548 |
| Practice Telephone | 2293125133 |
| Practice Fax Number | 2293125159 |
| Mailing Telephone | 2293125870 |
| Mailing Fax Number | 2293125853 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRANK F MIDDLETON III (DIRECTOR PHYSICIAN SERVICES) |
| Authorized Official Telephone | 2293124055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NEONATAL MEDICINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316060585 | Phoebe Putney Memorial Hospital | Family Medicine | 2410 Sylvester Rd, Albany, GA 31705-2479 | 2007-04-10 |
| 1225151491 | Phoebe Putney Memorial Hospital | Internal Medicine | 425 W 3rd Ave Ste 340, Albany, GA 31701-1968 | 2007-04-10 |
| 1134242308 | Phoebe Putney Memorial Hospital | Surgery | 425 W 3rd Ave Ste 510, Albany, GA 31701-1959 | 2007-04-10 |
| 1407979677 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1600, Albany, GA 31707-2442 | 2007-04-10 |
| 1972625481 | Phoebe Putney Memorial Hospital | Surgery | 409 W 4th Ave, Albany, GA 31701-1915 | 2007-04-04 |
| 1669594222 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2442 | 2007-04-04 |
| 1225072846 | Phoebe Putney Memorial Hospital | Internal Medicine | 507 W 3rd Ave, Ste 100, Albany, GA 31701-1958 | 2006-06-15 |
| 1891315420 | Phoebe Putney Memorial Hospital | Pharmacy | 427 W 3rd Ave, Albany, GA 31701-1975 | 2020-04-23 |
| 1609268176 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd, Suite 2200, Albany, GA 31707-2800 | 2015-02-20 |
| 1487089132 | Phoebe Putney Memorial Hospital | General Acute Care Hospital | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. | 417 W 3rd Ave, Albany, GA 31706-1943 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1861005084 | Brittany Campbell | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-27 |
| 1528679735 | Ta-tanisha Parks | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-11 |
| 1013543859 | Amber Nicole Brodbeck | Registered Nurse | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-03-12 |
| 1225676273 | Jasmine Andrews | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-12-19 |
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1548816457 | Taylor Leigh Holmes | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-08-15 |
| 1689228850 | Christopher Moody | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-26 |
| 1922651223 | Evans Ngwa Mabo | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-17 |
| 1144789082 | Joyce Anderson | Home Health | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 |
|---|---|---|---|---|
| 1730306614 | Gina Marie Geis | Pediatrics | 43 New Scotland Ave # 101, Albany, NY 12208 | 2007-04-20 |
| 1972100915 | Lalainya Marie O'connell | Pediatrics | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-10-02 |
| 1528615507 | Children's Medical Services of New York PC | Pediatrics | 315 S Manning Blvd, Albany, NY 12208-1707 | 2019-08-23 |
| 1437311677 | Mary Elisabeth Fay | Pediatrics | 43 New Scotland Ave # 101, Albany, NY 12208-3412 | 2008-06-30 |
| 1871796664 | Erwinson Barnatchea Bassig | Pediatrics | 417 W 3rd Ave, Albany, GA 31701-1943 | 2007-06-08 |
| 1801920723 | Kate Tauber | Pediatrics | 47 New Scotland Ave, Dept Pediatrics, Albany, NY 12208-3412 | 2007-03-15 |
| 1598715500 | Mark E Ignatz | Pediatrics | 417 W 3rd Ave, Albany, GA 31701-1943 | 2006-05-11 |
| 1316905284 | Stephen R Pratt | Pediatrics | 315 S Manning Blvd, St. Peter's Hospital, Albany, NY 12208-1707 | 2006-05-02 |
| 1740248707 | Albert L Bartoletti | Pediatrics | 315 S Manning Blvd, St. Peter's Hospital, Albany, NY 12208-1707 | 2006-05-01 |
| 1841257243 | Rubia Khalak | Pediatrics | 315 S Manning Blvd, St. Peter's Hospital, Albany, NY 12208-1707 | 2006-04-28 |
| 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.