MR. MICHAEL C SECALLUS (NPI# 1730787128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730787128 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL C SECALLUS |
| Credential | FNP |
| Practice Address |
66 Kirkwood Gdns Kirkwood NY 13795-1623 |
| Practice Telephone | 7168709352 |
| Mailing Telephone | 7168709352 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F339980-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
66 KIRKWOOD GDNS |
| City | KIRKWOOD |
| State | NY |
| Zip Code | 13795-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336322999 | United Medical Associates | Family Medicine | 5 Mile Point Plaza, Kirkwood, NY 13795 | 2007-12-06 |
| 1487798484 | Schneider's Pharmacy,inc. | Pharmacy | Five Mile Point Plaza, Kirkwood, NY 13795 | 2007-02-16 |
| 1245742600 | Rachel Marit Fowler | Occupational Therapy Assistant | 236 Burts Rd, Kirkwood, NY 13795 | 2017-10-25 |
| 1427419852 | Mia Elizabeth Gray | Speech-Language Pathologist | 236 Burts Rd, Kirkwood, NY 13795 | 2016-03-12 |
| 1275942500 | Jenna Laine Goldsmith | Speech-Language Pathologist | 236 Burts Rd, Kirkwood, NY 13795 | 2014-08-12 |
| 1356876254 | Stacy Colwell | Registered Nurse | 865 Us Route 11, Kirkwood, NY 13795-1001 | 2017-04-28 |
| 1710025861 | Howard Jay Warner | Dentist | 44 Frances St, Kirkwood, NY 13795-1025 | 2007-02-01 |
| 1225275910 | Robyn Lawrence | Physical Therapy Assistant | 187 Johnson Rd, Kirkwood, NY 13795-1205 | 2009-01-16 |
| 1053853630 | Alberta Wilmot | Registered Nurse | 2 Valley Vista Ct, Kirkwood, NY 13795-1222 | 2016-11-14 |
| 1710548607 | Rachel Marie Macblane | Licensed Practical Nurse | 37 Langdon Park Dr, Kirkwood, NY 13795-1336 | 2019-06-22 |
| Find all providers in zip 13795 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336322999 | United Medical Associates | Family Medicine | 5 Mile Point Plaza, Kirkwood, NY 13795 | 2007-12-06 |
| 1659466944 | Chandra M.r. Shekar | Family Medicine | 11040 Manchester Rd, Kirkwood, MO 63122-1244 | 2006-10-04 |
| 1306866496 | Mark D. King | Family Medicine | 455 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2006-07-20 |
| 1346215787 | Sandra K. Minchow-proffitt | Family Medicine | 103 N Taylor Ave, Ste C, Kirkwood, MO 63122-4360 | 2006-02-21 |
| 1770937500 | Pathik J Desai | Family Medicine | 1001 S Kirkwood Rd, Kirkwood, MO 63122-7254 | 2016-04-18 |
| 1558775924 | Alexander Meyer | Family Medicine | 816 S Kirkwood Rd Ste 210, Kirkwood, MO 63122-6056 | 2014-06-13 |
| 1790091932 | Brockman Med Corp | Family Medicine | 101 W Argonne Dr, Suite 58, Kirkwood, MO 63122-4201 | 2010-08-25 |
| 1093958647 | Chandra Shekar, PC | Family Medicine | 11040 Manchester Rd, Kirkwood, MO 63122-1244 | 2009-04-13 |
| 1174733620 | Kevin P King | Family Medicine | 816 S Kirkwood Rd Ste 210, Kirkwood, MO 63122-6056 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 1396359642 | Marlene Aquino | Family Medicine | 252 E 4th St Apt 2d, New York, NY 10009-7538 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.