DR. YURI TERTILUS JADOTTE (NPI# 1770800674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770800674 |
| Entity Type | Individual |
| Full Name | DR. YURI TERTILUS JADOTTE |
| Credential | MD, PHD, MPH |
| Practice Address |
Health Sciences Center Level 3 Suite 086 Stony Brook NY 11794 |
| Mailing Address |
Health Sciences Center Level 3 Suite 086 Stony Brook NY 11794-0001 |
| Practice Telephone | 6314443725 |
| Practice Fax Number | 6314447525 |
| Mailing Telephone | 6314443725 |
| Mailing Fax Number | 6314447525 |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
284861 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
HEALTH SCIENCES CENTER LEVEL 3 SUITE 086 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003154642 | Steven Jonas | Preventive Medicine | Dept Prev Med Stony Brook University, Hsc L-3, Rm. 113a, Stony Brook, NY 11794-0001 | 2013-01-16 |
| 1720398209 | Mary F. Cavanagh | Preventive Medicine | Dept. of Prevmentive Medicine, Hsc L-3, Rm 086, Stony Brook University School of Medicine, Stony Brook, NY 11794-8036 | 2010-10-18 |
| 1851554984 | Jordana Beth Rothschild | Preventive Medicine | 2500 Nesconset Highway Bldg 16,c, Stony Brook Preventive Medicine Services, Stony Brook, NY 11790-2563 | 2008-07-09 |
| 1629443957 | Edward Anthony Kalpas | Preventive Medicine | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2015-12-11 |
| 1225356926 | Jessica Michelle Perrone | Preventive Medicine | 2500 Nesconset Hwy, Building 16, Stony Brook, NY 11790-2555 | 2010-05-06 |
| 1740416221 | Kimberly C Bowman | Preventive Medicine | 2500 Nesconset Hwy, Bldg. 16, C, Stony Brook, NY 11790-2555 | 2009-06-10 |
| 1235351164 | Dorothy Lane | Preventive Medicine | 100 Nicolls Road, Hsc, L3, Rm 086, Stony Brook, NY 11794 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255481 | Wolf Ridge Medical Wellness | Preventive Medicine | 100 New Broadway Apt 404, Rensselaer, NY 12144-2159 | 2020-01-27 |
| 1306400130 | Ashley Lynn Vail | Preventive Medicine | 2001 E Main St, Endicott, NY 13760-5622 | 2019-04-26 |
| 1699260760 | Travel Health Medical, PC | Preventive Medicine | 110 E 55th St Fl 16, New York, NY 10022-4568 | 2018-06-29 |
| 1619356979 | Gabriel Feldman | Preventive Medicine | 205 W 88th St, 7g, New York, NY 10024-2351 | 2015-05-20 |
| 1134506173 | Hanjo Kwon-anderson | Preventive Medicine | 12 Ellendale Ct, East Northport, NY 11731-6406 | 2015-04-28 |
| 1962897710 | Matthew Dounel Md Mph Pllc | Preventive Medicine | 3516 Francis Lewis Blvd Unit A, Flushing, NY 11358-1954 | 2015-03-30 |
| 1013335843 | Robert Sheldon Epstein | Preventive Medicine | 75 Tweed Blvd, Nyack, NY 10960-4911 | 2014-03-29 |
| 1770914459 | Carl Li | Preventive Medicine | 270 Farber Hall, 3435 Main Street, Buffalo, NY 14214-8001 | 2013-12-06 |
| 1811339559 | Richard Irving Kirshenbaum | Preventive Medicine | 313 Whitman Dr, Brooklyn, NY 11234-6935 | 2013-07-23 |
| 1487994646 | Lice Busters Inc | Preventive Medicine | 306 Avenue N, Brooklyn, NY 11230-5511 | 2013-02-26 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.