Prudencio G Tablang (NPI# 1821082173, PAC ID# 9436239142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1821082173 |
| PAC ID by PECOS | 9436239142 |
| Professional Enrollment ID | I20080108000420 |
| Full Name | Prudencio G Tablang |
| Organization Legal Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Address |
1 Foxcare Dr Oneonta NY 13820-2681 |
| Phone Number | 6074315757 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8325937006 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330085 | AURELIA OSBORN FOX MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Foxcare Dr, Oneonta, NY 13820-2681 | 6074315757 | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| 1 Foxcare Dr, Suite 103, Oneonta, NY 13820-2681 | 6074315757 | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Organization Legal Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan S Evanczyk | Obstetrics/gynecology | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Loretta A Obi | Internal Medicine | Aurelia Osborn Fox Memorial Hospital Society | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Jennifer D Kite | Nurse Practitioner | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Nanette L Treadwell | Physician Assistant | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Street Address |
1 FOXCARE DR |
| City | ONEONTA |
| State | NY |
| Zip | 13820-2681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myung K Allen | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 302, Oneonta, NY 13820-2086 |
| Jacqueline F Kelchlin | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 211, Oneonta, NY 13820-2154 |
| Todd T Churchill | Internal Medicine | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 302, Oneonta, NY 13820-2086 |
| Anya Bitterman | Ophthalmology | 1 Foxcare Dr, Suite 100, Oneonta, NY 13820-2681 | |
| Kelley A Birmingham | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 308, Oneonta, NY 13820-2086 |
| Benjamin N Friedell | Family Medicine | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 308, Oneonta, NY 13820-2086 |
| Christian J Mulik | Internal Medicine | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 308, Oneonta, NY 13820-2086 |
| Mark Archibald | Optometry | Anya Bitterman Md PC | 1 Foxcare Dr, Suite 100, Oneonta, NY 13820-2681 |
| Linda I Lofrumento | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 103, Oneonta, NY 13820-2681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony P Cammilleri | Cardiovascular Disease (cardiology) | 48 Dietz St F, Oneonta, NY 13820-1827 | |
| Marie Helene Hegeman | Clinical Social Worker | 8 -12 Dietz St, Suite 201, Oneonta, NY 13820-1849 | |
| Kim Evelyn Halaquist | Nurse Practitioner | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Reynaldo P Lazaro | Neurology | 41 -45 Dietz St, Oneonta, NY 13820-1855 | |
| Eric A Dohner | Family Medicine | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Stanley A Anderson Jr. | Physician Assistant | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Michael H Weinberg | Physician Assistant | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| William G Carentz Sr. | Clinical Social Worker | 48 Dietz St, Oneonta, NY 13820-1866 | |
| Sura M Page | Clinical Social Worker | 48 Dietz St, Oneonta, NY 13820-1866 | |
| David Allen Joseph | Podiatry | 43 Walnut St, Oneonta, NY 13820-1937 | |
| Find all physicians in zip 13820 | |||
| City | ONEONTA |
| Zip Code | 13820 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | ONEONTA + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Prudencio G Tablang.
| 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.