Lisle A Eaton Jr. (NPI# 1750382131, PAC ID# 9032296090) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1750382131 |
| PAC ID by PECOS | 9032296090 |
| Professional Enrollment ID | I20080402000064 |
| Full Name | Lisle A Eaton Jr. |
| Organization Legal Name | MAPLEWOOD PATHOLOGY PC |
| Address |
315 S Manning Blvd Albany NY 12208-1707 |
| Phone Number | 5185251474 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8628063294 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330057 | ST PETER'S HOSPITAL |
| 330003 | ALBANY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 315 S Manning Blvd, Albany, NY 12208-1707 | 5185251474 | MAPLEWOOD PATHOLOGY PC |
| Organization Legal Name | MAPLEWOOD PATHOLOGY PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beiqing Liu | Pathology | Maplewood Pathology PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Patricia A Belair | Pathology | Maplewood Pathology PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Laquita King | Pathology | Maplewood Pathology PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Jacqueline Cortazar | Pathology | Maplewood Pathology PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Simon E Meykler | Pathology | Maplewood Pathology PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Melanie R Hawver | Pathology | Maplewood Pathology PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Street Address |
315 S MANNING BLVD |
| City | ALBANY |
| State | NY |
| Zip | 12208-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arunima Rajbhandary | Internal Medicine | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Andre P El-hajj | Critical Care (intensivists) | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Matthew A Taylor | Anesthesiology | Anesthesia Group of Albany, PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Sahar Amery | Internal Medicine | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Vincent J Battuello | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group of Albany, PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Angel Peng | Internal Medicine | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Fareed Fareed | Emergency Medicine | Manning Emergency Medical Associates Pllc | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Christine Piraino | Certified Registered Nurse Anesthetist (crna) | Anesthesia Group of Albany, PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Chaithanya Pamidimukala | Internal Medicine | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Stephanie Sherman | Physician Assistant | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher W Cosgrove | Clinical Social Worker | 878 New Scotland Ave, Albany, NY 12208-1129 | |
| Alida D Crisafulli | Clinical Social Worker | 878 New Scotland Ave, Albany, NY 12208-1129 | |
| Sinda K Tomy | Internal Medicine | St Peters Hospital of The City of Albany | 315 S Manning Blvd 3 Cusack, Albany, NY 12208-1707 |
| Maryanne P Sangiacomo | Physician Assistant | St Peters Hospital of The City of Albany | 315 S Manning Blvd Rm, Albany, NY 12208-1707 |
| Svetlana V Kovtunova | Family Medicine | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Refat Assad | Neurology | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Bridget Patterson-marshall | Neurology | St Peters Hospital of The City of Albany | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Brian Mchugh | Anesthesiology | Anesthesia Group of Albany, PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Robert G Brewer | Emergency Medicine | Manning Emergency Medical Associates Pllc | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Kim P Gendron | Nurse Practitioner | St Peters Health Partners Medical Associates PC | 315 S Manning Blvd, Albany, NY 12208-1707 |
| Find all physicians in zip 12208 | |||
| City | ALBANY |
| Zip Code | 12208 |
| Specialty | PATHOLOGY |
| City + Specialty | ALBANY + PATHOLOGY |
Please comment or provide details below to improve the information on Lisle A Eaton Jr..
| 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.