COMMUNITY CARE PHYSICIANS, PC (NPI# 1073895553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073895553 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | CAPITALCARE FAMILY PRACTICE ROTTERDAM |
| Practice Address |
1667 Elizabeth St Schenectady NY 12303-3805 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183565377 |
| Practice Fax Number | 5188811489 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | DEBBY COONS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5182130478 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 207096 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CapitalCare Family Practice Rotterdam | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025888 | Community Care Physicians, PC | Surgery | 2520 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2017-11-02 |
| 1255853065 | Community Care Physicians, PC | Family Medicine | 711 Troy Schenectady Rd Ste 109, Latham, NY 12110-2454 | 2017-07-13 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| 1780956474 | Community Care Physicians, PC | Obstetrics & Gynecology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-01-27 |
| 1285905786 | Community Care Physicians, PC | Internal Medicine | 199 Delaware Ave, Delmar, NY 12054-1229 | 2012-01-16 |
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1841573706 | Community Care Physicians, PC | Pediatrics | 942 A Route 146, Clifton Park, NY 12605-3614 | 2011-09-27 |
| 1104109065 | Community Care Physicians, PC | Internal Medicine | 2546 Balltown Road, Suite 200, Schenectady, NY 12309-1079 | 2011-09-27 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1093097586 | Community Care Physicians, PC | Family Medicine | 2524 Us Route 9w, Ravena, NY 12143-2804 | 2011-09-12 |
| Street Address |
1667 ELIZABETH ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225051253 | Zofia Wanda Drzymalski | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2006-07-25 |
| 1356958896 | Kristen Lee Hebert | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2020-09-29 |
| 1699328450 | Jason J Lee | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2019-07-22 |
| 1942711528 | Kathryn E Mcintosh | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2017-10-23 |
| 1063933612 | Lu Zhang | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2017-07-05 |
| 1629468368 | Emily Ilowit | Nurse Practitioner | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2015-02-03 |
| 1548483076 | Jennifer T Henson | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2007-04-11 |
| 1255488342 | Christopher M Pawlinga | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2007-01-04 |
| 1295846905 | Virginia B Larner | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2006-08-31 |
| 1326159054 | John B Spindler | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1356784839 | Nicole Tetreault | Family Medicine | 3757 Carman Rd Ste 100, Schenectady, NY 12303-5438 | 2013-04-15 |
| 1780919266 | John E Hargraves | Family Medicine | 3681 E Lydius St, Schenectady, NY 12303-3562 | 2009-10-16 |
| 1639205636 | Paul J Byron | Family Medicine | 500 Balltown Rd, Schenectady, NY 12304-2247 | 2007-02-26 |
| 1790830222 | Union Street Family Medicine, LLC | Family Medicine | 1325 Union St, Schenectady, NY 12308-3033 | 2007-01-24 |
| 1285724294 | Shahida Parveen Mirza | Family Medicine | 2125 River Rd Ste 202, Schenectady, NY 12309-1135 | 2006-10-13 |
| 1225051253 | Zofia Wanda Drzymalski | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2006-07-25 |
| 1770518722 | Siren Rasik Chudgar | Family Medicine | 976 Balltown Rd, Schenectady, NY 12309-6428 | 2006-07-11 |
| 1518932458 | Juanito Antonio Reyes | Family Medicine | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2006-02-22 |
| 1174598387 | Donna Tuttle | Family Medicine | 3040 Broadway, Schenectady, NY 12306-2102 | 2006-02-21 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
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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.