Deidra C Knauth (NPI# 1679139075, PAC ID# 1456680339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679139075 |
| PAC ID by PECOS | 1456680339 |
| Professional Enrollment ID | I20190903002588 |
| Full Name | Deidra C Knauth |
| Organization Legal Name | CAPITAL DISTRICT RENAL PHYSICIANS, PC |
| Address |
62 Hackett Blvd Albany NY 12209-1718 |
| Phone Number | 5184342244 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991793598 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330057 | ST PETER'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 62 Hackett Blvd, Albany, NY 12209-1718 | 5184342244 | CAPITAL DISTRICT RENAL PHYSICIANS, PC |
| Organization Legal Name | CAPITAL DISTRICT RENAL PHYSICIANS, PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammed A Monzur | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Mujtaba A Hasnain | Nephrology | Capital District Renal Physicians, PC | 1 W Ave, Suite 155, Saratoga Springs, NY 12866-6068 |
| Rahim M Dhanani | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Vincent J Carsillo Ii | Internal Medicine | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Michael H Gallichio | General Surgery | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Thomas Chauncey Schumacher | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Frank B Cortazar | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Michael T Dirusso | Nephrology | Capital District Renal Physicians, PC | 1201 Nott St, Suite 203, Schenectady, NY 12308-2589 |
| Jorge Cerda | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Edith C Gross | Nurse Practitioner | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Street Address |
62 HACKETT BLVD |
| City | ALBANY |
| State | NY |
| Zip | 12209-1718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammed A Monzur | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Rahim M Dhanani | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Vincent J Carsillo Ii | Internal Medicine | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Michael H Gallichio | General Surgery | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Thomas Chauncey Schumacher | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Frank B Cortazar | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Jorge Cerda | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Edith C Gross | Nurse Practitioner | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Patricia M Carmel | Nurse Practitioner | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Michelle Catherine Dixon | Nurse Practitioner | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen B Obrien | Clinical Social Worker | 560 Delaware Ave, Suite 1, Albany, NY 12209-1415 | |
| Marc D Ginsburg | Podiatry | Capital Region Foot Care Pllc | 104 Hackett Blvd, Albany, NY 12209-1525 |
| Steven Lam | Podiatry | Capital Region Foot Care Pllc | 104 Hackett Blvd, Albany, NY 12209-1525 |
| James F Horn | Nephrology | Capital District Renal Physicians, PC | 62 Hackett Blvd, Albany, NY 12209-1718 |
| City | ALBANY |
| Zip Code | 12209 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALBANY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Deidra C Knauth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.