Peter Namkoong (NPI# 1154385649, PAC ID# 5092873711) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1154385649 |
| PAC ID by PECOS | 5092873711 |
| Professional Enrollment ID | I20100804000794 |
| Full Name | Peter Namkoong |
| Organization Legal Name | UPSTATE OB/GYN ASSOCIATES,P.C. |
| Address |
1365 Washington Ave Suite 201 Albany NY 12206-1098 |
| Phone Number | 5184894446 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7214986082 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330057 | ST PETER'S HOSPITAL |
| 330013 | ALBANY MEDICAL CENTER HOSPITAL |
| 330003 | ALBANY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1365 Washington Ave, Suite 201, Albany, NY 12206-1098 | 5184894446 | UPSTATE OB/GYN ASSOCIATES,P.C. |
| Organization Legal Name | UPSTATE OB/GYN ASSOCIATES,P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura N Oswald | Obstetrics/gynecology | Upstate Ob/gyn Associates,p.c. | 1365 Washington Ave, Suite 201, Albany, NY 12206-1098 |
| Richard P Goyer Jr. | Obstetrics/gynecology | Upstate Ob/gyn Associates,p.c. | 1365 Washington Ave, Suite 201, Albany, NY 12206-1098 |
| Nicole D Coluccio | Obstetrics/gynecology | Upstate Ob/gyn Associates,p.c. | 1365 Washington Ave, Suite 201, Albany, NY 12206-1098 |
| Street Address |
1365 WASHINGTON AVE SUITE 201 |
| City | ALBANY |
| State | NY |
| Zip | 12206-1098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Lambert | Registered Dietitian Or Nutrition Professional | Albany Medical College | 1365 Washington Ave, Albany, NY 12206-1068 |
| Rebecca A Marrone | Nurse Practitioner | Albany Medical College | 1365 Washington Ave, Albany, NY 12206-1068 |
| Gary Bakst | Endocrinology | Albany Medical College | 1365 Washington Ave, Albany, NY 12206-1068 |
| Samer S Eldeiry | Endocrinology | Albany Medical College | 1365 Washington Ave, Albany, NY 12206-1068 |
| William Stoecklin | Physician Assistant | Albany Medical College | 1365 Washington Ave, Albany, NY 12206-1068 |
| Lori Wilson | Registered Dietitian Or Nutrition Professional | Albany Medical College | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 |
| Mark A Yocono | Endocrinology | Albany Medical College | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 |
| Robert S Busch | Endocrinology | Albany Medical College | 1365 Washington Ave, Albany, NY 12206-1068 |
| Shimon Tobolsky | Physician Assistant | Albany Medical College | 1365 Washington Ave, Albany, NY 12206-1068 |
| Jeffrey H Stern | Ophthalmology | Capital Region Retina, Pllc | 1365 Washington Ave, Suite 101, Albany, NY 12206-1098 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica E Janssen | Nurse Practitioner | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Sean J Sheehan | Gastroenterology | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Molly K Austin | Physician Assistant | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Anita S Farry | Nurse Practitioner | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Jonathan E Barsa | Gastroenterology | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Jenny C Keane | Nurse Practitioner | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Richard George Clift | Gastroenterology | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| John Buhac | Gastroenterology | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Jeffrey R Gerson | Gastroenterology | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Kim M Sheldon | Physician Assistant | Albany-capital Region Gastroenterology Consultants Co Pllc | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 |
| Find all physicians in zip 12206 | |||
| City | ALBANY |
| Zip Code | 12206 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ALBANY + OBSTETRICS/GYNECOLOGY |
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| 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.