HEBERT RYAN ABBOTT (NPI# 1932248697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932248697 |
| Entity Type | Individual |
| Full Name | HEBERT RYAN ABBOTT |
| Credential | MD |
| Practice Address |
103 Great Oaks Blvd Albany NY 12203 |
| Practice Telephone | 5184641091 |
| Practice Fax Number | 5184640445 |
| Mailing Telephone | 5184641091 |
| Mailing Fax Number | 5184640445 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
135736 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7819685 | 01 | |
| NY | 00627674 | 05 | |
| NY | CDPHP | 10000287 | 01 |
| MVP | 26401 | 01 |
| Street Address |
103 GREAT OAKS BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861409435 | Cajsa Jane Schumacher | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-03 |
| 1023437936 | Sarah Kathleen Klaiber Sokil | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203-7924 | 2014-04-08 |
| 1225396930 | Adam Gicewicz | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203-7924 | 2012-05-01 |
| 1063524254 | Jeffrey Adrian Schumacher | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-31 |
| 1417063736 | Douglas Phillip Larsen | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336285691 | Diosita Watin Lariosa | Pediatrics | 513 W 2nd Ave, Albany, GA 31701-2204 | 2007-01-30 |
| 1174687404 | Max Kuo | Pediatrics | 810 13th Ave Ste 107, Albany, GA 31701-1333 | 2006-12-21 |
| 1902907785 | Kari Bovenzi | Pediatrics | 638 Western Ave, Albany, NY 12203-1830 | 2006-09-26 |
| 1629033899 | Beverly Dianne Walker | Pediatrics | 311 W 2nd Ave, Albany, GA 31701-2369 | 2006-04-19 |
| 1962462762 | Dennis Lewis Holwerda | Pediatrics | 1801 Palmyra Rd, Albany, GA 31701-1572 | 2006-03-24 |
| 1215199203 | Danice B Roberts | Pediatrics | 1801 Palmyra Rd, Albany, GA 31701-1572 | 2008-06-30 |
| 1710999743 | Estrella Esguerra | Pediatrics | 920 Lark Dr, Albany, NY 12207-1300 | 2006-08-11 |
| 1306898655 | Jason Curtis Hester | Pediatrics | 1801 Palmyra Rd, Albany, GA 31701-1572 | 2006-05-16 |
| 1396797866 | John W Sanders | Pediatrics | 1801 Palmyra Rd, Albany, GA 31701-1572 | 2006-05-16 |
| 1568422830 | Bozena Anna Strzalkowski | Pediatrics | 6 Executive Park Dr, Albany, NY 12203-3791 | 2006-03-23 |
| 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.