NORTH COUNTRY SPORTS MEDICINE PLLC


Address: 25 Willowbrook Road, Suite 2, Queensbury, NY 12804
Phone: 5187939156

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02194627 05

Other Provider IDs and Locations

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

Office Location

Street Address 25 WILLOWBROOK ROAD
SUITE 2
City QUEENSBURY
State NY
Zip Code 12804

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City QUEENSBURY
Zip Code 12804

Improve Information

Please comment or provide details below to improve the information on NORTH COUNTRY SPORTS MEDICINE PLLC.

Dataset Information

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.

Trending Searches