UPSTATE UROLOGY (NPI# 1932191772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932191772 |
| Entity Type | Organization |
| Organization Name | UPSTATE UROLOGY |
| Practice Address |
1365 Washington Ave Suite 102 Albany NY 12206-1098 |
| Mailing Address |
Po Box 8701 Upstate Urology Albany NY 12208-0701 |
| Practice Telephone | 5184469838 |
| Mailing Telephone | 5184469838 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | DR. JAMES BARADA (OWNER) |
| Authorized Official Telephone | 5184469838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | UPSTATE UROLOGY, INC. | 750 East Adams Street, Syracuse, Ny 13210 |
| Street Address |
1365 WASHINGTON AVE SUITE 102 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879709 | Mark Lester Fruiterman | Internal Medicine | 1365 Washington Ave, Ste 300, Albany, NY 12206-1098 | 2005-05-23 |
| 1811448657 | Albany Medical Center Hospital | Clinic/Center | 1365 Washington Ave, Albany, NY 12206-1068 | 2016-10-17 |
| 1821441726 | Albany Medical Center Hospital | Nuclear Medicine | 1365 Washington Ave, Suite 204, Albany, NY 12206-1068 | 2016-07-15 |
| 1689059123 | Albany Medical College | General Practice | 1365 Washington Ave, Suite 200, Albany, NY 12206-1068 | 2015-07-27 |
| 1700204641 | Albany Medical Center Hospital | Clinical Medical Laboratory | 1365 Washington Ave, Albany, NY 12206-1098 | 2014-03-28 |
| 1508280389 | Albany Medical College | Internal Medicine | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 | 2014-02-13 |
| 1992042840 | Jenna E Hafner | Physician Assistant | 1365 Washington Ave, Suite 100, Albany, NY 12206-1068 | 2013-01-12 |
| 1922361153 | Amy Lynn Santoro | Nurse Practitioner | 1365 Washington Ave, Suite 201, Albany, NY 12206-1068 | 2012-06-22 |
| 1215202973 | E Scott Macomber Md PC | Specialist | 1365 Washington Ave, Suite 200, Albany, NY 12206-1036 | 2012-03-14 |
| 1588960165 | Michael Dolen | Podiatrist | 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 | 2011-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235525916 | William Kelvin Lane | Urology | 2009 Palmyra Rd, Albany, GA 31701-1576 | 2015-04-09 |
| 1962586776 | Mark White | Urology | The Urological Institute of Northeastern New York, South Clinical Campus, 23 Hackett Blvd., Albany, NY 12208 | 2006-10-25 |
| 1225118284 | Hugh Fisher | Urology | South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 | 2006-10-16 |
| 1174625693 | Keith A Schulze | Urology | 400 Hickory St Nw Ste 200, Albany, OR 97321-1700 | 2006-09-04 |
| 1497790430 | Martin S Engelstein | Urology | 4 Executive Park, Albany, NY 12203-3718 | 2006-06-16 |
| 1912967241 | Donald Joseph Rivard | Urology | 25 Hackett Blvd, Division of Urology (mc 208), Albany, NY 12208-3420 | 2006-03-23 |
| 1811964430 | Barry A Shuman | Urology | 63 Shaker Rd Suite 202, Albany Memorial Professional Bldg, Albany, NY 12204-1030 | 2006-03-02 |
| 1932175924 | Sophia Drinis | Urology | 400 Hickory St Nw, Suite 200, Albany, OR 97321-1700 | 2006-02-28 |
| 1811983711 | Carl Robert Hall | Urology | 920 8th Ave Sw, Albany, OR 97321-2407 | 2005-09-26 |
| 1467447938 | Michael D. Daugherty | Urology | 2400 Osler Ct, Albany, GA 31707 | 2005-09-12 |
| Find all providers in ALBANY | ||||
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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.