Provider Demographics
NPI:1447257936
Name:PIKE DENNING, VANESSA LEE (MD)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:LEE
Last Name:PIKE DENNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VANNESSA
Other - Middle Name:PIKE
Other - Last Name:DENNING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7 SOUTHWOODS BLVD
Mailing Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES, PC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2526
Mailing Address - Country:US
Mailing Address - Phone:518-292-6000
Mailing Address - Fax:518-292-6050
Practice Address - Street 1:7 SOUTHWOODS BLVD
Practice Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES, PC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-2526
Practice Address - Country:US
Practice Address - Phone:518-292-6000
Practice Address - Fax:518-292-6050
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179636207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000405698006OtherBSNENY
NY1031500OtherUHC
NY050419000060OtherFIDELIS CARE
NY0110234374OtherRR MEDICARE
NY10000476OtherCDPHP
NY01375479Medicaid
NY1781R1OtherEBCBS
NY4124263OtherMOHAWK VALLEY PHP
MA2099250Medicaid
NY5978327OtherAETNA
NY000405698006OtherBSNENY
NY5978327OtherAETNA
NYCC8765Medicare PIN
NY179636OtherSHARED HEALTH NETWORK