Lance E Sullenberger (NPI# 1174623086, PAC ID# 7416034269) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1174623086 |
PAC ID by PECOS | 7416034269 |
Professional Enrollment ID | I20080404000112 |
Full Name | Lance E Sullenberger |
Organization Legal Name | CAPITAL CARDIOLOGY ASSOCIATES PC |
Address |
24 Lafayette Ave Coxsackie NY 12051-1305 |
Phone Number | 5187317777 |
Gender | M |
Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
Graduation Year | 1997 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 1254228240 |
Number of Group Practice Members | 41 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330013 | ALBANY MEDICAL CENTER HOSPITAL |
330057 | ST PETER'S HOSPITAL |
330180 | SAMARITAN HOSPITAL |
330191 | GLENS FALLS HOSPITAL |
330094 | COLUMBIA MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
24 Lafayette Ave, Coxsackie, NY 12051-1305 | 5187317777 | CAPITAL CARDIOLOGY ASSOCIATES PC |
Organization Legal Name | CAPITAL CARDIOLOGY ASSOCIATES PC |
Physicians | 43 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darshaney Sankhar | Nurse Practitioner | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Daniel W Esper | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Augustin Delago | Interventional Cardiology | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Carl A Heinecke | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Allison R Detommasi | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 2200 Burdett Ave, Suite 202, Troy, NY 12180-2451 |
Robert Benton | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 2200 Burdett Ave, Suite 202, Troy, NY 12180-2451 |
Andrew L Macina | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Ramon A Fabregas | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Vivienne E Smith | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Connor D Healey | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 7 Southwoods Blvd, Albany, NY 12211-2526 |
Street Address |
24 LAFAYETTE AVE |
City | COXSACKIE |
State | NY |
Zip | 12051-1305 |
Name | Specialty | Organization | Address |
---|---|---|---|
Parag S Shah | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 24 Lafayette Ave, Coxsackie, NY 12051-1305 |
Jeffrey R Uzzilia | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 24 Lafayette Ave, Coxsackie, NY 12051-1305 |
David L Putnam | Cardiovascular Disease (cardiology) | Capital Cardiology Associates PC | 24 Lafayette Ave, Coxsackie, NY 12051-1305 |
City | COXSACKIE |
Zip Code | 12051 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | COXSACKIE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.