DR. PAUL H LUNDGREN (NPI# 1992797955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992797955 |
| Entity Type | Individual |
| Full Name | DR. PAUL H LUNDGREN |
| Credential | M.D. |
| Practice Address |
1300 Massachusetts Ave Troy NY 12180-1628 |
| Mailing Address |
Po Box 689 Troy NY 12181-0689 |
| Practice Telephone | 5182686406 |
| Practice Fax Number | 5182686294 |
| Mailing Telephone | 5182685000 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2009-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
156804 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00951648 | 05 |
| Street Address |
1300 MASSACHUSETTS AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010212 | Chinedu Abara | Anesthesiology | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2005-06-01 |
| 1952885915 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2018-09-17 |
| 1952889560 | Lynna J Gu | Physician Assistant | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2018-08-06 |
| 1497252845 | Alphonse Ntube Akuo | Nurse Practitioner | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2018-04-11 |
| 1346752078 | Seton Health System, Inc. | Clinic/Center | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2017-11-03 |
| 1760994156 | Selma K Crump | Nurse Practitioner | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2017-10-25 |
| 1477090025 | Seton Health System, Inc | Internal Medicine | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2017-01-20 |
| 1144628652 | Courtney Rose Caimano | Pharmacist | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2014-12-15 |
| 1881006302 | Elecia Novak | Physician Assistant | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2014-06-02 |
| 1124458369 | Seton Health System, Inc. | Psychologist | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2013-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972051530 | Michael Abdul-malek Do Pllc | Internal Medicine | 1380 Coolidge Hwy Ste 250, Troy, MI 48084-7067 | 2016-09-13 |
| 1104125756 | Ibin Sina Cardiovascular Center PC | Internal Medicine | 2678 Melcombe Cir, 104, Troy, MI 48084-3457 | 2011-03-22 |
| 1891946703 | Ruslan Feygin | Internal Medicine | 2231 Burdett Ave Ste 160, Capital Cardiology Associates PC, Troy, NY 12180-2453 | 2008-10-09 |
| 1124187307 | Vina R. Patel | Internal Medicine | 763 Hoosick Road, Troy, NY 12180-6646 | 2006-12-06 |
| 1154422236 | Hussain A Khawaja | Internal Medicine | 258 Hoosick St Ste 107, Tri-city Cardiology Care, Pllc, Troy, NY 12180-2471 | 2006-09-25 |
| 1255371605 | Scott Jeffrey Denardo | Internal Medicine | 522 Allen St Ste 101, Troy, NC 27371-2861 | 2006-06-07 |
| 1487615241 | Rodrigo G Goh | Internal Medicine | 172 Professional Parkway, Po Box A, Troy, MO 63379-1520 | 2006-03-31 |
| 1104898667 | Maria Theresa Pacis Biederman | Internal Medicine | 3310 W Big Beaver Rd, Suite 137, Troy, MI 48084-2809 | 2006-02-07 |
| 1366420069 | Elizabeth Renukarani Claudius | Internal Medicine | 522 Allen St, Suite 101, Troy, NC 27371-2861 | 2006-01-04 |
| 1033192083 | Renato G Ramos | Internal Medicine | 1559 W Big Beaver Rd, Ste E, Troy, MI 48084-3525 | 2005-11-23 |
| Find all providers in TROY | ||||
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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.