LETTRICK FAMILY MEDICINE PLLC (NPI# 1164793808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164793808 |
| Entity Type | Organization |
| Organization Name | LETTRICK FAMILY MEDICINE PLLC |
| Practice Address |
1528 Columbia Tpke Castleton NY 12033-9584 |
| Practice Telephone | 5184662287 |
| Practice Fax Number | 5184771255 |
| Mailing Telephone | 5184662287 |
| Mailing Fax Number | 5184771255 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | DR. MICHAEL A LETTRICK (CEO) |
| Authorized Official Telephone | 5184662287 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 189372 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LETTRICK FAMILY MEDICINE PLLC | 3 Blue Mountain Trail, East Greenbush, New York 12061 |
| Street Address |
1528 COLUMBIA TPKE |
| City | CASTLETON |
| State | NY |
| Zip Code | 12033-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837990 | Richard A Altwerger | Podiatrist | 1528 Columbia Tpke, Suite102, Castleton, NY 12033-9584 | 2005-11-10 |
| 1013144823 | East Greenbush Neurology Office, Pllc | Psychiatry & Neurology | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2009-06-18 |
| 1447232855 | Michael Allen Lettrick | Family Medicine | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2005-11-19 |
| 1326020181 | Michael A. Lettrick Md PC | Family Medicine | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263428 | Taylor M Lanoue | Physical Therapist | 81 Miller Road, Suite 400, Castleton, NY 12033 | 2018-01-25 |
| 1033586631 | Shannon Horan | Licensed Practical Nurse | 2 Anderson Avenue, Castleton, NY 12033 | 2015-08-31 |
| 1528335510 | Anne Valerio Goff | Social Worker | 10 Empire State Blvd., Questar IIi, Castleton, NY 12033 | 2011-11-19 |
| 1740566611 | Dana Garber | Local Education Agency (LEA) | 10 Empire Blvd, Castleton, NY 12033 | 2011-10-24 |
| 1487937769 | Frances F Owen | Social Worker | 1477 So. Schodack Road, Maple Hill Middle School, Castleton, NY 12033 | 2011-09-23 |
| 1083902530 | Stacy Marie Herron | Speech-Language Pathologist | 80 Scott Avenue, Castleton, NY 12033 | 2011-07-19 |
| 1578681425 | Phillip S Weisburgh | Pharmacist | 1645 Columbia Tpk, Castleton, NY 12033 | 2007-03-27 |
| 1831244698 | Schodack Central School District | Local Education Agency (LEA) | 1216 Maple Hill Road, Castleton, NY 12033 | 2007-01-24 |
| 1174607972 | Donna Schaefer | Physician Assistant | Community Care Schodack, 81 Miller Road, Suite 800, Castleton, NY 12033 | 2006-10-25 |
| 1184675142 | Marcella Barbour Fiacco | Dietitian, Registered | 1523 Columbia Turnpike, Serenity Day Spa, Castleton, NY 12033 | 2006-05-15 |
| Find all providers in zip 12033 | ||||
| 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 |
|---|---|---|---|---|
| 1518908045 | James Henry Wilson IIi | Family Medicine | 2500 Pondview, Suite 204, Castleton, NY 12033-9584 | 2006-06-08 |
| 1194082552 | James Wilson Md Pllc | Family Medicine | 2500 Pond Vw, Suite 204, Castleton, NY 12033-9750 | 2012-04-23 |
| 1760754451 | Community Care Physicians, PC | Family Medicine | 81 Miller Rd, Suite 500, Castleton, NY 12033-4035 | 2012-01-27 |
| 1447232855 | Michael Allen Lettrick | Family Medicine | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2005-11-19 |
| 1326020181 | Michael A. Lettrick Md PC | Family Medicine | 1528 Columbia Tpke, Castleton, NY 12033-9584 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.