HUDSON HEADWATERS HEALTH NETWORK (NPI# 1154343168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154343168 |
| Entity Type | Organization |
| Organization Name | HUDSON HEADWATERS HEALTH NETWORK |
| Practice Address |
Main Street and Pelon Road Indian Lake NY 12842-0684 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5186485707 |
| Practice Fax Number | 5186486160 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5184800108 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-09-17 |
| Authorized Official Name | CHRISTOPHER TOURNIER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5187610300 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUDSON HEADWATERS HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6846 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528611084 | Hudson Headwaters Health Network | Clinic/Center | 27 Hyland Dr, Lake Luzerne, NY 12846-3923 | 2019-07-23 |
| 1780030908 | Hudson Headwaters Health Network | Clinic/Center | 1 Glen St, Glens Falls, NY 12801-4439 | 2016-05-06 |
| 1427452200 | Hudson Headwaters Health Network | Family Medicine | 353 Schroon River Rd, Warrensburg, NY 12885-4807 | 2014-10-22 |
| 1386657534 | Hudson Headwaters Health Network | Nurse Practitioner | 28 S Western Ave, Queensbury, NY 12804-3323 | 2006-08-15 |
| 1952319386 | Hudson Headwaters Health Network | Social Worker | 101 Adirondack Drive, Suite 2, Ticonderoga, NY 12883 | 2006-08-03 |
| 1073529301 | Hudson Headwaters Health Network | Dentist | 3761 Main St, Warrensburg, NY 12885-1837 | 2006-07-31 |
| 1548276801 | Hudson Headwaters Health Network | Family Medicine | 6356 Nys Route 30, Indian Lake, NY 12842-2021 | 2006-07-31 |
| 1356355952 | Hudson Headwaters Health Network | Family Medicine | 1299 Route 9, Gansevoort, NY 12831-1560 | 2006-07-28 |
| 1295758423 | Hudson Headwaters Health Network | Family Medicine | 11 Cross St, Bolton Landing, NY 12814-0539 | 2006-07-26 |
| 1609899848 | Hudson Headwaters Health Network | Social Worker | 6223 State Route 9, Chestertown, NY 12817-2823 | 2006-07-26 |
| Street Address |
MAIN STREET AND PELON ROAD |
| City | INDIAN LAKE |
| State | NY |
| Zip Code | 12842-0684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417226978 | Renee Ann Blowers | Registered Nurse | 81 White Birch Lane, Indian Lake, NY 12842 | 2011-12-29 |
| 1447408455 | Tracey Hunt | Registered Nurse | 250 White Birch Lane, Indian Lake, NY 12842 | 2008-09-03 |
| 1912295049 | Sherry L Warner | Registered Nurse | 250 White Birch Lane, Indian Lake, NY 12842 | 2011-07-11 |
| 1477701167 | Maria Lourdes Belyea | Registered Nurse | White Birch Lane, Indian Lake, NY 12842 | 2008-09-05 |
| 1649428558 | Jonathan Callahan Stanton | Registered Nurse | 250 White Birch Lane, Indian Lake, NY 12842 | 2008-09-04 |
| 1922394543 | Indian Lake Volunteer Ambulance Corp Inc | Ambulance | 105 Pelon Road, Indian Lake, NY 12842-0117 | 2011-06-22 |
| 1023436334 | Daryl Parslow | Case Manager/Care Coordinator | 139 White Birch Lane, Indian Lake, NY 12842-0139 | 2014-04-03 |
| 1033420963 | Karen Ann Levison | Physical Therapy Assistant | 477 Adirondack Lake Road, Indian Lake, NY 12842-0204 | 2010-06-25 |
| 1013165604 | Beth Waldron | Registered Nurse | 0 White Birch Lane, Indian Lake, NY 12842-0250 | 2008-09-08 |
| 1649428749 | Avis Kim Warner | Registered Nurse | White Birch Lane, Indian Lake, NY 12842-0250 | 2008-09-03 |
| Find all providers in zip 12842 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063524155 | Christopher H Jackson | Physician Assistant | 6356 Nys Route 30, Indian Lake, NY 12842-1500 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN LAKE |
| Zip Code | 12842 |
Please comment or provide details below to improve the information on HUDSON HEADWATERS HEALTH NETWORK.
| 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.