ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC (NPI# 1205223294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205223294 |
| Entity Type | Organization |
| Organization Name | ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC |
| Other Organization Name | SPHPMA RADIOLOGY DIVISION |
| Practice Address |
147 Hoosick Street Troy NY 12180-2353 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5182685370 |
| Mailing Telephone | 5185255634 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SPHPMA Radiology Division | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328966 | St. Peters Health Partners Medical Associates PC | Emergency Medicine | 11 Hempstead Place, Suite 103, Saratoga Springs, NY 12866 | 2013-11-27 |
| 1639504699 | St. Peters Health Partners Medical Associates PC | Internal Medicine | 433 River Street Suite 3000, Troy, NY 12180 | 2013-09-10 |
| 1770970675 | St. Peters Health Partners Medical Associates PC | Physician Assistant | 2 Empire Dr, East Greenbush Ultrasound, Rensselaer, NY 12144-5730 | 2015-04-20 |
| 1831586809 | St. Peters Health Partners Medical Associates PC | Radiology | 713 Troy Schenectady Rd, Suite 304, Latham, NY 12110-2490 | 2015-04-17 |
| 1750778726 | St. Peters Health Partners Medical Associates PC | Radiology | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2015-04-17 |
| 1245628361 | St. Peters Health Partners Medical Associates PC | Surgery | 319 S Manning Blvd, Suite 304, Albany, NY 12208-1742 | 2014-12-23 |
| 1417362963 | St. Peters Health Partners Medical Associates PC | Family Medicine | 854 Route 212, Saugerties, NY 12477-4619 | 2014-06-24 |
| 1154744753 | St. Peters Health Partners Medical Associates PC | Psychiatry & Neurology | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-02-03 |
| 1174954606 | St. Peters Health Partners Medical Associates PC | Nurse Practitioner | 319 South Manning Blvd, Suite C364, Albany, NY 12208-1742 | 2013-12-10 |
| 1104257252 | St. Peters Health Partners Medical Associates PC | Family Medicine | 10 Gagnon Dr, Stone Ridge, NY 12484-5120 | 2013-11-27 |
| Street Address |
147 HOOSICK STREET |
| City | TROY |
| State | NY |
| Zip Code | 12180-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811926264 | Alan Joseph Johnson Jr. | Physical Therapist | 147 Hoosick Street, Massry Center, Troy, NY 12180 | 2006-06-30 |
| 1598249559 | Samaritan Hospital of Troy, New York | Internal Medicine | 147 Hoosick Street, Suite K, Troy, NY 12180-2393 | 2018-09-17 |
| 1063770089 | Seton Health System, Inc. | Internal Medicine | 147 Hoosick Street, St. Peter's Internal Medicine, Troy, NY 12180 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811221104 | Carl E Farah | Radiology | 1616 Kirts Blvd, 206, Troy, MI 48084-4348 | 2009-09-21 |
| 1558591024 | Paul Thottakara | Radiology | 3088 Glouchester Dr, Troy, MI 48084-2715 | 2009-07-20 |
| 1487883427 | Alexander Elhilal | Radiology | 1113 Birchwood Dr, Troy, MI 48083-1807 | 2009-07-13 |
| 1124286190 | Robert Warren Mendelson | Radiology | 2541 Manchester Ct, Troy, MI 48098-2146 | 2008-05-27 |
| 1457522625 | Seetha S Vakhariya | Radiology | 3290 Camden Dr, Troy, MI 48084-7027 | 2008-03-17 |
| 1194915660 | Danny Ma | Radiology | 2099 Hartshorn Ave, Troy, MI 48083-1760 | 2007-07-30 |
| 1699849000 | Joseph Carroll Andrews | Radiology | 5762 Greenhill Dr, Troy, MI 48098-5341 | 2006-11-17 |
| 1912088808 | Bhargavi Kanubhai Patel | Radiology | 1000 East Cherry Street, Lincoln County Medical Center Dept of Radiology, Troy, MO 63379 | 2006-10-18 |
| 1700985744 | Timothy L Eakes Jr. | Radiology | 1330 Highway 231 South, Troy, AL 36081 | 2006-09-22 |
| 1043265234 | Yagnesh Rameshwar Raval | Radiology | 3130 North Dixie Highway, Imaging Department, Troy, OH 45373-1309 | 2006-05-24 |
| Find all providers in TROY | ||||
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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.