ALBANY GENERAL HOSPITAL (NPI# 1700145786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700145786 |
| Entity Type | Organization |
| Organization Name | ALBANY GENERAL HOSPITAL |
| Other Organization Name | SAMARITAN KIDNEY SPECIALISTS - ALBANY |
| Practice Address |
1086 7th Ave Sw Albany OR 97321-1997 |
| Practice Telephone | 5417686930 |
| Mailing Telephone | 5417686930 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-12-12 |
| Authorized Official Name | DAVID TRIEBES (CEO) |
| Authorized Official Telephone | 5418124102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Samaritan Kidney Specialists - Albany | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1346620408 | Albany General Hospital | Internal Medicine | 1086 7th Avenue Sw, Suite 200, Albanyr, OR 97321-1954 | 2015-06-04 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1104182369 | Albany General Hospital | Internal Medicine | 620 Elm St Sw, Albany, OR 97321-1986 | 2012-04-02 |
| 1912263179 | Albany General Hospital | Family Medicine | 534 Pleasant View Way Nw, Suite 100, Albany, OR 97321-1700 | 2012-04-02 |
| 1851628648 | Albany General Hospital | Family Medicine | 1970 14th Ave Se Ste 130, Albany, OR 97322-8527 | 2009-11-16 |
| 1548313356 | Albany General Hospital | Durable Medical Equipment & Medical Supplies | 1010 7th Ave Sw, Albany, OR 97321-1922 | 2007-01-18 |
| 1316302672 | Albany General Hospital | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ALBANY GENERAL HOSPITAL | 1046 Sixth Ave Sw, Albany, OR 97321 |
| Oregon Corporations, Companies and Business Names | ALBANY GENERAL HOSPITAL FOUNDATION | 1046 Sw 6th Ave, Albany, OR 97321 |
| Street Address |
1086 7TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285676072 | Rebakah K. Owen-thayer | Internal Medicine | 1086 7th Ave Sw, Suite 101, Albany, OR 97321-1997 | 2006-06-13 |
| 1780090019 | Albany General Hospital | Internal Medicine | 1086 7th Ave Sw, Suite 101, Albany, OR 97321-1997 | 2014-07-08 |
| 1801156054 | Albany General Hospital | Internal Medicine | 1086 7th Ave Sw, Suite 101, Albany, OR 97321-1997 | 2012-05-22 |
| 1558637835 | Albany General Hospital | Internal Medicine | 1086 7th Ave Sw, Suite 101, Albany, OR 97321-1997 | 2012-03-30 |
| 1508130717 | Albany General Hospital | Internal Medicine | 1086 7th Ave Sw, Suite 101, Albany, OR 97321-1997 | 2012-03-06 |
| 1184884959 | Santiam Gastroenterology PC | Clinic/Center | 1086 7th Ave Sw, Albany, OR 97321-1997 | 2008-06-14 |
| 1023298783 | Whitney A. Buckley | Pharmacist | 1086 7th Ave Sw, Albany, OR 97321-1997 | 2007-11-11 |
| 1508926064 | Allen G. Brooks | Psychiatry & Neurology | 1086 7th Ave Sw, #202, Albany, OR 97321-1997 | 2006-12-12 |
| 1336177112 | Louis W. Weinstein | Internal Medicine | 1086 7th Ave Sw, Suite 101, Albany, OR 97321-1997 | 2006-06-29 |
| 1245275601 | Kenneth W. Vaughn Jr. | Internal Medicine | 1086 7th Ave Sw, Suite 101, Albany, OR 97321-1997 | 2006-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063789865 | Swati Mehta | Internal Medicine | 2 Beaver Pond Rd, Albany, NY 12211-1402 | 2011-11-22 |
| 1922000611 | James Fletcher Horn | Internal Medicine | 62 Hackett Blvd, Albany, NY 12209-1718 | 2005-08-11 |
| 1952860959 | Annie Mae Walker | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2019-03-19 |
| 1669853677 | Salim Bou Slaiman | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2015-06-16 |
| 1861730855 | Lifeline Vascular Center - Albany, LLC | Internal Medicine | 2300 Dawson Rd, Suite, Albany, GA 31707-2803 | 2013-01-25 |
| 1720343783 | Avantika Chenna | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2012-07-05 |
| 1720376197 | Pradeep Reddy Thodima | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2011-07-19 |
| 1023334828 | Shivakanth Burugu | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2010-04-19 |
| 1912141979 | Paul Jack Der Mesropian | Internal Medicine | 113 Holland Ave, Albany Stratton Va - Division of Nephrology, Albany, NY 12208-3410 | 2009-04-21 |
| 1962603225 | Krishnakumar Hongalgi | Internal Medicine | 47 New Scotland Ave, Mc-69, Albany, NY 12208-3412 | 2007-05-31 |
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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.