NORTH COUNTRY SPORTS MEDICINE PLLC (NPI# 1144302217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144302217 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY SPORTS MEDICINE PLLC |
| Practice Address |
25 Willowbrook Road Suite 2 Queensbury NY 12804 |
| Practice Telephone | 5187939156 |
| Practice Fax Number | 5187936591 |
| Mailing Telephone | 5187939156 |
| Mailing Fax Number | 5187936591 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | MS. LORI M BALDWIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5187939156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02194627 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417211962 | North Country Sports Medicine Pllc | Orthopaedic Surgery | 79 North St, Granville, NY 12832-1137 | 2012-06-29 |
| 1013271550 | North Country Sports Medicine Pllc | Orthopaedic Surgery | 1019 Wicker St, Moses Ludington Hospital, Ticonderoga, NY 12883-1039 | 2012-06-29 |
| Street Address |
25 WILLOWBROOK ROAD SUITE 2 |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205880762 | Andrea L Skillman | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804-0000 | 2006-05-20 |
| 1487080495 | Laura Gosnell | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2013-09-23 |
| 1164706537 | Adria Erin Newberry | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2011-10-04 |
| 1326202177 | Adam Brod | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2008-07-10 |
| 1083784854 | Douglas P Kirkpatrick | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-09 |
| 1700956570 | Richard A Saunders | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-09 |
| 1922177294 | James G Todt | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-08 |
| 1942379227 | Patrick F Mcdermott | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-08 |
| 1922032382 | Jameel Ali | Physician Assistant | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962769653 | Michael Thomas Rozell | Orthopaedic Surgery | 25 Willowbrook Rd Ste 2, Queensbury, NY 12804-3193 | 2012-04-18 |
| 1326202177 | Adam Brod | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2008-07-10 |
| 1083784854 | Douglas P Kirkpatrick | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-09 |
| 1700956570 | Richard A Saunders | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-11-09 |
| 1629093778 | Carol S Fisher | Orthopaedic Surgery | 68 Quaker Rd, Queensbury, NY 12804-1711 | 2006-07-12 |
| 1851316905 | Douglas M Petroski | Orthopaedic Surgery | 68 Quaker Rd, Queensbury, NY 12804-1711 | 2006-07-12 |
| 1174555627 | Robert G Sellig | Orthopaedic Surgery | 68 Quaker Rd, Queensbury, NY 12804-1711 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330807 | Ny Orthopedics PC | Orthopaedic Surgery | 110 Duane Street, New York, NY 10007 | 2020-03-11 |
| 1770117483 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 5840 Merrick Rd, Massapequa, NY 11758-6225 | 2020-03-03 |
| 1669006375 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 77 N Centre Ave Ste 210, Rockville Centre, NY 11570-3923 | 2020-03-03 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1649801440 | Richard Allan Stram | Orthopaedic Surgery | 508 Murray Hill Rd, Vestal, NY 13850-3824 | 2020-01-30 |
| 1316594237 | Motaz Abdulrahman Alaqeel | Orthopaedic Surgery | 504 E 63rd St Apt 6s, New York, NY 10065-7912 | 2019-08-26 |
| 1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| 1528627866 | New York Orthopedic Hip & Knee Associates LLP | Orthopaedic Surgery | 25 Apawamis Ave, Rye, NY 10580-3528 | 2019-06-11 |
| 1396207528 | Ony Care of Ny II, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1b, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on NORTH COUNTRY SPORTS MEDICINE PLLC.
| 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.