PRIME COLUMBIA GREENE MEDICAL ASSOCIATES, PC (NPI# 1093771677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093771677 |
| Entity Type | Organization |
| Organization Name | PRIME COLUMBIA GREENE MEDICAL ASSOCIATES, PC |
| Practice Address |
949 Columbia St Hudson NY 12534-2624 |
| Practice Telephone | 5188287188 |
| Practice Fax Number | 5188285049 |
| Mailing Telephone | 5188287188 |
| Mailing Fax Number | 5188285049 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2011-11-04 |
| Authorized Official Name | CLARENCE B HENRY (PRESIDENT) |
| Authorized Official Telephone | 5188287188 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 123180 | NY | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
109985 | NY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 209006 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02311659 | 05 | |
| NY | 00195813 | 05 |
| Street Address |
949 COLUMBIA ST |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232917 | Clarence B Henry | Internal Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2005-08-12 |
| 1174879019 | Columbia Memorial Hospital | Clinic/Center | 949 Columbia St, Hudson, NY 12534-2624 | 2012-07-30 |
| 1710132618 | Olena Bilyk | Physician Assistant | 949 Columbia St, Hudson, NY 12534-2624 | 2008-11-20 |
| 1750477352 | Susan Lathers | Physician Assistant | 949 Columbia St, Hudson, NY 12534-2624 | 2006-10-04 |
| 1164520391 | Charles Johnson | Family Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2006-09-20 |
| 1144260233 | Jeanne Pierce | Physician Assistant | 949 Columbia St, Hudson, NY 12534-2624 | 2006-06-07 |
| 1962404616 | Tamton Mustapha | Internal Medicine | 949 Columbia St, Hudson, NY 12534-2624 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1417196155 | Triform Enterprises Ltd. | Day Training, Developmentally Disabled Services | 20 Triform Road, Hudson, NY 12534 | 2009-02-19 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750942231 | Susan Hazel Bane | Internal Medicine | 258 Roxbury Rd, Hudson, NY 12534-3612 | 2019-06-25 |
| 1083120794 | Norman David Lafrance | Internal Medicine | 19 Rue Raffles, Hudson, QUEBEC J0P1H0 | 2017-12-18 |
| 1780195735 | Summit Hospitalists, LLC | Internal Medicine | 2608 Brunswick Ln, Hudson, OH 44236-1407 | 2017-10-17 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1366872087 | Summa Physicians Inc | Internal Medicine | 328 E Hines Hill Rd, Hudson, OH 44236-1118 | 2013-11-15 |
| 1174889166 | Rafael Antonio Rojano Marin | Internal Medicine | 405 Stageline Rd., Hudson, WI 54016-7848 | 2012-04-04 |
| 1063643211 | Neha Khullar | Internal Medicine | 71 Prospect Ave Ste 230, Hudson, NY 12534-2907 | 2009-08-06 |
| 1023263506 | Myvisitingdoctorsinc | Internal Medicine | 12336 Southbridge Ter, Hudson, FL 34669-5037 | 2008-11-25 |
| 1487811931 | Darshan V. Patel | Internal Medicine | 7614 Jacque Rd Ste C, Hudson, FL 34667-7195 | 2008-05-21 |
| 1124296678 | Stadion Inpatient Services LLC | Internal Medicine | 1400 Fivay Road, Hudson, FL 34667 | 2008-02-19 |
| Find all providers in HUDSON | ||||
Please comment or provide details below to improve the information on PRIME COLUMBIA GREENE MEDICAL ASSOCIATES, PC.
| 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.