SHANNON COMLEY SOOD


Address: 2125 River Rd, Suite 303, Schenectady, NY 12309-1135
Phone: 5183828350

SHANNON COMLEY SOOD (NPI# 1902811615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902811615
Entity Type Individual
Full Name SHANNON COMLEY SOOD
Credential D.O.
Practice Address 2125 River Rd
Suite 303
Schenectady
NY 12309-1135
Mailing Address Po Box 14890
Albany
NY 12212-4890
Practice Telephone 5183828350
Practice Fax Number 5183820345
Enumeration Date 2006-07-30
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
227312 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY GHI/HMO 100556 01
NY SENIOR WHOLE HEALTH 200253 01
NY MVP 384959 01
NY FIDELIS 061214000028 01
NY CDPHP 10099368 01
NY EMPIRE BC 3X6311 01
NY BSNENY 000409908001 01
NY AETNA 7586702 01
NY 02673912 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2 Empire Dr Ste 100, Rensselaer, NY 121445730 5184713636
5 Palisades Dr Ste 200, Albany, NY 122056433 5184713636
63 Shaker Rd Ste 201, Albany, NY 122041030 5184713636
720 Hoosick Rd, Troy, NY 121806673 5184713636
855 Route 146 Ste 150, Clifton Park, NY 120653874 5184713636

Office Location

Street Address 2125 RIVER RD
SUITE 303
City SCHENECTADY
State NY
Zip Code 12309-1135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174585608 Naseer A Chowdhrey Psychiatry & Neurology 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2006-04-03
1336550904 Roberta Buckley Mansen Nurse Practitioner 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2014-05-16
1306289483 Community Care Physicians, PC Psychiatry & Neurology 2125 River Rd, Suite 303, Schenectady, NY 12309 2013-04-09
1699017350 Community Care Physicians, PC Internal Medicine 2125 River Rd, Suite 301, Schenectady, NY 12309 2013-03-20
1336496025 Angela Memmelaar Nurse Practitioner 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2012-08-13
1972867323 Linda Searfoss Nurse Practitioner 2125 River Rd, Suite 103, Schenectady, NY 12309-1135 2012-06-30
1063776540 Certified Allergy Consultants, PC Allergy & Immunology 2125 River Rd, Schenectady, NY 12309-1135 2012-06-28
1891068490 Community Care Physicians, PC Radiology 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 2012-02-14
1104198894 Community Care Physicians, PC Family Medicine 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 2012-01-27
1720350408 Community Care Physicians, PC Family Medicine 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 2012-01-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973071 Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center Clinic/Center 1769 Union Street, 3rd Floor, Niskayana, NY 12309 2019-07-11
1902396351 Erica S Hill Occupational Therapist 2246 Van Rensselaer Dr, Niskayuna, NY 12309 2018-05-11
1588107015 Orthopedicsny, LLP Orthopaedic Surgery 1760 Union St, Suite 100, Schenectady, NY 12309 2016-12-01
1932589983 Patricia P Primomo Dentist 2310 Nott Street East, Niskayuna, NY 12309 2015-06-04
1386074268 Bernard P Kinlan Social Worker 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 2013-11-14
1255680344 Rudy Nydegger Phd, Abpp, Pllc Psychologist 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 2012-09-05
1407104094 Rachelle Ann Kehoe Specialist 950 St. David's Lane, Schenectady, NY 12309 2012-08-29
1073882726 Kristina Lynn Deangelo Speech-Language Pathologist 1872 Hexam Road West, Niskayuna, NY 12309 2011-12-27
1467720136 Jjm Chiropractic, LLC Chiropractor 1756 Union St., Niskayuna, NY 12309 2011-12-08
1659658474 Richard W Glover Dentist 2310 Nott St. East, Niskayuna, NY 12309 2011-11-08
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467735738 Community Care Physicians, PC Internal Medicine 2125 River Rd, Suite 303, Schenectady, NY 12309 2011-09-23
1922388057 Jalaja Joseph Internal Medicine 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2011-08-20
1558680504 Susan Peng Demarest Internal Medicine 624 Mcclellan St, Suite G06, Schenectady, NY 12304-1020 2010-05-28
1588679294 Sandra Taccad-reyes Internal Medicine 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2006-07-30
1811910425 Philip John Mika Internal Medicine 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2006-07-25
1063414472 James Desemone Internal Medicine 1101 Nott St, Schenectady, NY 12308-2425 2005-08-15

Providers in the same taxonomy and state

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1689271629 Cecelia Health, Inc. Internal Medicine 355 Lexington Ave # 12f, New York, NY 10017-6603 2020-10-02
1679199608 Mount Sinai School of Medicine Internal Medicine 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 2020-06-25
1033677810 Sarah Fishman Md, Phd PC Internal Medicine 121 E 60th St Apt 3b, New York, NY 10022-1164 2019-03-11
1861969404 Mt Endocrinology PC Internal Medicine 984 N Broadway Ste 305, Yonkers, NY 10701-1308 2018-11-01
1306389523 Dina Zaqqa Internal Medicine 76 Adams Rd, Saratoga Springs, NY 12866-9008 2016-11-19
1740731876 Beth Anne Piper Internal Medicine 104 Union Ave Ste 801, Syracuse, NY 13203-1844 2016-10-24
1023487394 Michael Berelowitz Internal Medicine 415 E 37th St Apt 36c, New York, NY 10016-3261 2015-09-17
1316326317 Westchester Endrocrinology Pllc Internal Medicine 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 2015-05-22
1730577602 Nicseb Medical PC Internal Medicine 103 W 117th St, Ph, New York, NY 10026-2963 2014-12-31
1962812529 Maria Teresa Anton Internal Medicine 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 2014-05-05
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Competitor

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City SCHENECTADY
Zip Code 12309

Improve Information

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Dataset Information

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.

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