CAPITAL REGION OTOLARYNGOLOGY HEAD & NECK GROUP (NPI# 1033484142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033484142 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION OTOLARYNGOLOGY HEAD & NECK GROUP |
| Practice Address |
2 Sherman Potts Dr Ghent NY 12075-3216 |
| Practice Telephone | 5188229111 |
| Mailing Telephone | 5188229111 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |
| Authorized Official Name | MICHAEL DEVITO (PARTNER) |
| Authorized Official Telephone | 5184829111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548526726 | Capital Region Otolaryngology Head & Neck Group | Specialist | 2001 5th Ave, Troy, NY 12180 | 2012-04-02 |
| 1497020507 | Capital Region Otolaryngology Head & Neck Group | Specialist | 963 Route 146, Clifton Park, NY 12065-3636 | 2012-03-22 |
| Street Address |
2 SHERMAN POTTS DR |
| City | GHENT |
| State | NY |
| Zip Code | 12075-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867173 | Karyn Maria Dornemann | Chiropractor | 2 Sherman Potts Dr, Ghent, NY 12075-3216 | 2005-11-10 |
| 1114533874 | Alexis Mccomb | Physician Assistant | 2 Sherman Potts Dr, Ghent, NY 12075-3216 | 2020-09-18 |
| 1063880342 | Jane Shanklin | Physical Therapist | 2 Sherman Potts Dr, Suite 202, Ghent, NY 12075-3216 | 2015-09-03 |
| 1669898284 | Flex Care, LLC | Clinic/Center | 2 Sherman Potts Dr, Suite 202, Ghent, NY 12075-3216 | 2014-03-06 |
| 1669717336 | Miracle of Health Physical Therapy, P.C. | Physical Therapist | 2 Sherman Potts Dr, Suite 202, Ghent, NY 12075-3216 | 2012-12-06 |
| 1053672238 | Your Family Doc, P.C. | Family Medicine | 2 Sherman Potts Dr, Ghent, NY 12075-3216 | 2012-06-04 |
| 1437488780 | Ryandell De Vera Villaflor | Physical Therapist | 2 Sherman Potts Dr, Suite 202, Ghent, NY 12075-3216 | 2009-12-16 |
| 1881920874 | Hudson Care Physical Therapy Pllc | Clinic/Center | 2 Sherman Potts Dr, Suite 202, Ghent, NY 12075-3216 | 2009-10-26 |
| 1225255789 | Ijunanya Holder | Physical Therapist | 2 Sherman Potts Dr, Suite 202, Ghent, NY 12075-3216 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119915 | Sarah Roberts | Occupational Therapy Assistant | 1351 Rt 66, Ghent, NY 12075 | 2018-10-10 |
| 1801241427 | Margot Mosier Swartz | Physician Assistant | Chatham Pediatrics, 2 Sherman Potts Dr. Suite 203, Ghent, NY 12075 | 2016-05-02 |
| 1871728485 | Hudson Care Therapy Care L.L.C. | Clinic/Center | 2 Sherman Potts Rd., Ghent, NY 12075 | 2009-05-27 |
| 1316197551 | Elizabeth Katherine Palma | Contractor | 145 Carpenter Road, Ghent, NY 12075 | 2008-09-24 |
| 1093912685 | Special Needs Program, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1351 Route 66, Ghent, NY 12075 | 2007-06-28 |
| 1912919572 | Hudson Valley Care Centers, Inc | Skilled Nursing Facility | One Whittier Way, Ghent, NY 12075 | 2006-08-12 |
| 1467445601 | Green Manor Dialysis Center LLC | Clinic/Center | 30 Whittier Way, Ghent, NY 12075 | 2005-08-23 |
| 1356597058 | Juanita M Bryant | Dietitian, Registered | 2 Sherman Potts Drive, Ghent, NY 12075 | 2008-08-13 |
| 1629163423 | Robert Dwight Semlear | Family Medicine | 60 Garage Place Rd, Ghent, NY 12075-1203 | 2006-10-04 |
| 1144386269 | Nona Lewis | Psychologist | 72 Cool Timber Rd, Ghent, NY 12075-1245 | 2007-01-01 |
| Find all providers in zip 12075 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1740881846 | Deborah Singer X | Specialist | 6 Equestrian Ln Apt 8, Saratoga Springs, NY 12866-1053 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.