KASUNI KOTELAWALA (NPI# 1801327119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801327119 |
| Entity Type | Individual |
| Full Name | KASUNI KOTELAWALA |
| Credential | MD |
| Practice Address |
161 Carey Rd Queensbury NY 12804-7821 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5188248610 |
| Practice Fax Number | 5188242390 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 306276 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
161 CAREY RD |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-7821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410215 | Valerie K Ramsey Cummins | Nurse Practitioner | 161 Carey Rd, Queensbury, NY 12804-7821 | 2005-07-12 |
| 1700499167 | Briana Jean Dalaba | Nurse Practitioner | 161 Carey Rd, Queensbury, NY 12804-7821 | 2020-08-26 |
| 1417400177 | Alexis M Mondella | Nurse Practitioner | 161 Carey Rd, Queensbury, NY 12804-7821 | 2016-07-29 |
| 1326416488 | Denise N Richard | Nurse Practitioner | 161 Carey Rd, Queensbury, NY 12804-7821 | 2015-09-07 |
| 1700267697 | Jeremy Andrew Di Bari | Family Medicine | 161 Carey Rd, Queensbury, NY 12804 | 2015-06-16 |
| 1497135180 | Madison E Zuis | Nurse Practitioner | 161 Carey Rd, Queensbury, NY 12804-7821 | 2015-06-08 |
| 1538565700 | Brianna Degregory | Social Worker | 161 Carey Rd, Queensbury, NY 12804-7821 | 2014-11-14 |
| 1720410046 | Lauren E Gush | Physician Assistant | 161 Carey Rd, Queensbury, NY 12804-7821 | 2013-08-09 |
| 1750720371 | John T Quaresima | Family Medicine | 161 Carey Rd, Queensbury, NY 12804-7821 | 2013-06-17 |
| 1013292002 | Hudson Headwaters Health Network | Internal Medicine | 161 Carey Rd, Queensbury, NY 12804-7821 | 2011-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| 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 |
|---|---|---|---|---|
| 1932143443 | John Joseph Babe | Family Medicine | 4 Thistlewood Dr, Queensbury, NY 12804-9353 | 2006-06-15 |
| 1568444719 | Donald R Merrihew Jr. | Family Medicine | 319 Bay Rd, Queensbury, NY 12804-1402 | 2005-11-15 |
| 1053309179 | Maurice George Wiart | Family Medicine | 41 Fox Hollow Ln, Queensbury, NY 12804-1144 | 2005-10-12 |
| 1700267697 | Jeremy Andrew Di Bari | Family Medicine | 161 Carey Rd, Queensbury, NY 12804 | 2015-06-16 |
| 1407250285 | Hudson Headwaters Health Network | Family Medicine | 42 Gurney Ln, Queensbury, NY 12804-8250 | 2014-10-22 |
| 1750720371 | John T Quaresima | Family Medicine | 161 Carey Rd, Queensbury, NY 12804-7821 | 2013-06-17 |
| 1871886978 | Kyle S Leonard | Family Medicine | 161 Carey Rd, Queensbury, NY 12804-7821 | 2011-05-23 |
| 1487972923 | Douglas C. Cline, M.d., P.C. | Family Medicine | 104 Main St, Queensbury, NY 12804-4055 | 2010-05-07 |
| 1487668968 | Jennifer L Stratton | Family Medicine | 161 Carey Rd, Queensbury, NY 12804-7821 | 2006-07-28 |
| 1932113669 | William M Borgos | Family Medicine | 161 Carey Rd, Queensbury, NY 12804-7821 | 2006-07-28 |
| Find all providers in QUEENSBURY | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
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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.