MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC (NPI# 1184634297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184634297 |
| Entity Type | Organization |
| Organization Name | MONDRAGON MCGRINDER MEDICAL ASSOCIATES PLLC |
| Practice Address |
700 Mcclellan St Suite 101 Schenectady NY 12304-1019 |
| Practice Telephone | 5183749153 |
| Practice Fax Number | 5183795195 |
| Mailing Telephone | 5183749153 |
| Mailing Fax Number | 5183795195 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | SUSAN MAROLA (PRACTICE MANAGER) |
| Authorized Official Telephone | 5183749153 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02116829 | 05 |
| Street Address |
700 MCCLELLAN ST SUITE 101 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932166295 | Scott J Pickett | Podiatrist | 700 Mcclellan St, Suite 203, Schenectady, NY 12304-1019 | 2006-04-28 |
| 1780060350 | Susan A Kessler, Md, Pllc | Ophthalmology | 700 Mcclellan St, Suite 102, Schenectady, NY 12304-1019 | 2015-08-06 |
| 1073995064 | Tristin Cadle | Nurse Practitioner | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2015-06-25 |
| 1093138208 | Leonard F Combi | Specialist | 700 Mcclellan St, Suite 104, Schenectady, NY 12304-1019 | 2014-01-23 |
| 1407289077 | Upstate Podiatry Services | Durable Medical Equipment & Medical Supplies | 700 Mcclellan St, Suite 203, Schenectady, NY 12304-1019 | 2013-08-18 |
| 1770823973 | Schenectady Ent Pllc | Otolaryngology | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2013-02-25 |
| 1679836605 | Kristina M Clark | Registered Nurse | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2012-06-25 |
| 1033470141 | Susan A Kessler Md | Ophthalmology | 700 Mcclellan St, Suite 102, Schenectady, NY 12304-1019 | 2012-06-05 |
| 1952501793 | Susan Smith Woods | Psychologist | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2007-07-19 |
| 1942339486 | Philip Anthony Fraterrigo | Ophthalmology | 700 Mcclellan St, St. Clare's Medical Arts Building, Schenectady, NY 12304-1019 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386739431 | Marc Heller | Obstetrics & Gynecology | 1040 State Street, Schenectady, NY 12307-1508 | 2006-10-04 |
| 1174629562 | Asma Niaz | Obstetrics & Gynecology | 826 Union Street, Schenectady, NY 12308 | 2006-09-15 |
| 1407806755 | Joseph Gerardi | Obstetrics & Gynecology | 1532 Union St, Schenectady, NY 12309-6002 | 2006-05-10 |
| 1295796266 | Elaine Hee-young Cheon-lee | Obstetrics & Gynecology | Carenet Medical Group, 2123 River Road, Schenectady, NY 12309-1135 | 2006-03-30 |
| 1992765424 | Beatrice H Tsao | Obstetrics & Gynecology | 2123 River Rd, Schenectady, NY 12309-1135 | 2006-03-27 |
| 1912188558 | Melinda Sebenick Gilmore | Obstetrics & Gynecology | 1044 State St, Schenectady, NY 12307-1508 | 2007-11-26 |
| 1336366699 | Simone Piraino | Obstetrics & Gynecology | 2123 River Rd, Schenectady, NY 12309-1135 | 2007-04-19 |
| 1053471730 | Fouad A Sattar | Obstetrics & Gynecology | 700 Mcclellan St, Suite 206, Schenectady, NY 12304-1019 | 2006-12-11 |
| 1164443669 | Gerard J Mcgrinder | Obstetrics & Gynecology | 700 Mcclellan St, Suite 101, Schenectady, NY 12304-1019 | 2006-07-21 |
| 1790706216 | Peter Stier | Obstetrics & Gynecology | 700 Mcclellan St, Suite 101, Schenectady, NY 12304-1019 | 2006-07-21 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
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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.