ALBANY MEDICAL COLLEGE (NPI# 1710917638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710917638 |
| Entity Type | Organization |
| Organization Name | ALBANY MEDICAL COLLEGE |
| Other Organization Name | ALBANY MEDICAL COLLEGE DEPT OF TRAUMA |
| Practice Address |
47 New Scotland Ave 61ge Albany NY 12208-3412 |
| Mailing Address |
618 Central Ave Mc 106 Albany NY 12206-1916 |
| Practice Telephone | 5182625623 |
| Practice Fax Number | 5182625067 |
| Mailing Telephone | 5182629702 |
| Mailing Fax Number | 5182629707 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT P VERDILE (DEAN) |
| Authorized Official Telephone | 5182623773 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766804 | 05 | |
| VT | 1006966 | 05 | |
| NY | 01227141 | 05 | |
| NY | 01520676 | 05 |
| Other Name | Type Code |
|---|---|
| ALBANY MEDICAL COLLEGE DEPT OF TRAUMA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982197869 | Albany Medical College | Clinic/Center | 1019 New Loudon Rd # A-101, Cohoes, NY 12047-5003 | 2018-06-14 |
| 1801332515 | Albany Medical College | Emergency Medicine | 1769 Union St, Niskayuna, NY 12309-6311 | 2017-01-19 |
| 1346791324 | Albany Medical College | Clinic/Center | 7 Price Chopper Plz, Mechanicville, NY 12118-1250 | 2016-10-14 |
| 1780052308 | Albany Medical College | Emergency Medicine | 730 Hoosick Rd, Brunswick, NY 12180-8777 | 2015-09-14 |
| 1720418221 | Albany Medical College | Emergency Medicine | 2976 Route 9w, Saugerties, NY 12477-5234 | 2013-11-19 |
| 1841530714 | Albany Medical College | Internal Medicine | 178 Washington Avenue Extension, Albany, NY 12203-5304 | 2013-02-28 |
| 1922342138 | Albany Medical College | General Practice | 365 Broadway Ste 304, Kingston, NY 12401-5151 | 2012-11-15 |
| 1104160316 | Albany Medical College | General Practice | 713 Troy Schenectady Rd Ste 126, Latham, NY 12110-2490 | 2012-11-15 |
| 1225372436 | Albany Medical College | Internal Medicine | 176 Washington Avenue Ext Ste 102, Albany, NY 12203-5300 | 2012-11-15 |
| 1013261221 | Albany Medical College | General Practice | 453 Route 146 Ste 204, Clifton Park, NY 12065-3239 | 2012-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALBANY MEDICAL COLLEGE | 47 New Scotland Ave, Albany, NY 12208-3412 |
| Street Address |
47 NEW SCOTLAND AVE 61GE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324184 | Terri Antrenase Williams-weekes | Radiology | 47 New Scotland Ave, Radiology Department, Albany, NY 12208-3412 | 2005-05-23 |
| 1912508813 | Luke Manecio | Registered Nurse | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-06 |
| 1891303434 | Hannah Faith Mumford | Nurse Practitioner | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-07-20 |
| 1073131231 | Rafeh Safdar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Internal Medicine, Albany, NY 12208-3479 | 2020-07-13 |
| 1215553474 | Muhammad Taimoor Iftikhar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-06-23 |
| 1376169672 | Nadia Mackenzie Hill | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-06-23 |
| 1700408838 | Beltina Guce | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-05-12 |
| 1417586041 | Christopher Lu | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-04-06 |
| 1821626904 | Anicia Monique Ivey | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Family and Community Medicine, Albany, NY 12208 | 2020-04-01 |
| 1265060677 | Samae S Scott | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-03-31 |
| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164747390 | Travis Atkinson Arnold-lloyd | Surgery | 47 New Scotland Ave, Department of Surgery, Albany, NY 12208-3412 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410273 | Heiron Surgery Pllc | Surgery | 172 Kilburn Rd, Garden City, NY 11530-1328 | 2016-03-22 |
| 1316249766 | Akeem A. Atanda | Surgery | 1 Brookdale Plz Ste 222, Brooklyn, NY 11212-3139 | 2010-11-17 |
| 1548380488 | Manuel Alejandro Guerrero | Surgery | 350 Canal St, #700, New York, NY 10013-9400 | 2007-03-31 |
| 1639796568 | Health Quest Medical Practice, PC | Surgery | 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 | 2020-06-26 |
| 1326599713 | Caitlin N Haenig | Surgery | 601 Elmwood Ave, Rochester, NY 14642 | 2016-10-20 |
| 1386005221 | Health Quest Medicao Practice, PC | Surgery | 21 Reade Pl, Suite 3100, Poughkeepsie, NY 12601-3912 | 2016-03-18 |
| 1336555721 | Boris Dimitrov Hristov | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2014-07-07 |
| 1053733998 | Polikseni Eksarko | Surgery | 101 Nicolls Rd, Hcs T18-040, Stony Brook, NY 11794-8191 | 2014-01-13 |
| 1881030500 | Crystal C Whitney | Surgery | 750 E Adams St, Syracuse, NY 13210-2342 | 2013-05-21 |
| 1033477427 | Ryan S Lindborg | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2012-04-24 |
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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.