DAVID HAVERLY (NPI# 1265839294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265839294 |
| Entity Type | Individual |
| Full Name | DAVID HAVERLY |
| Credential | ATC |
| Practice Address |
5010 State Highway 30 Suite G03 Amsterdam NY 12010-7532 |
| Mailing Address |
2234 Helderberg Trl Berne NY 12023-2308 |
| Practice Telephone | 5188413406 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002717-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578585139 | David E Haverly | Podiatrist | 320 S Main St, Crossville, TN 38555-4838 | 2006-07-24 |
| Street Address |
5010 STATE HIGHWAY 30 SUITE G03 |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166095 | Ramon Bidot | Internal Medicine | 5010 State Highway 30, Suite G-02, Amsterdam, NY 12010-7532 | 2005-06-30 |
| 1184165870 | Katherine Elizabeth Kennedy | Physical Therapist | 5010 State Highway 30, Suite 101, Amsterdam, NY 12010-7532 | 2017-03-14 |
| 1174069140 | Rachel Simkins | Specialist/Technologist | 5010 State Highway 30, Suite G03, Amsterdam, NY 12010-7532 | 2017-01-13 |
| 1649623984 | Meghan Kise | Nurse Practitioner | 5010 State Highway 30, Suite G02, Amsterdam, NY 12010-7532 | 2016-07-21 |
| 1104286012 | Best Care Hospitalist PC | Internal Medicine | 5010 State Highway 30, Suite 201, Amsterdam, NY 12010-7532 | 2016-03-04 |
| 1023401361 | Endocrinology Amsterdam | Internal Medicine | 5010 State Highway 30, Amsterdam, NY 12010-7532 | 2015-03-11 |
| 1356761936 | Carla A Pasquarelli | Specialist/Technologist | 5010 State Highway 30, Suite G03, Amsterdam, NY 12010-7532 | 2014-04-22 |
| 1023447646 | Jeremiah Benoit Md, Pllc | Clinic/Center | 5010 State Highway 30, Suite 201, Amsterdam, NY 12010-7532 | 2013-11-04 |
| 1528355179 | Joseph Popper | Orthopaedic Surgery | 5010 State Highway 30, Ste 205, Amsterdam, NY 12010-7532 | 2011-07-05 |
| 1811189467 | Michael M. Sheridan,d.o. | Family Medicine | 5010 State Highway 30, Suite 101, Amsterdam, NY 12010-7532 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| Find all providers in zip 12010 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467561274 | Patricia Lynn Gundlach | Specialist/Technologist | 5030 State Highway 30, Amsterdam, NY 12010-7534 | 2006-08-29 |
| 1174069140 | Rachel Simkins | Specialist/Technologist | 5010 State Highway 30, Suite G03, Amsterdam, NY 12010-7532 | 2017-01-13 |
| 1356761936 | Carla A Pasquarelli | Specialist/Technologist | 5010 State Highway 30, Suite G03, Amsterdam, NY 12010-7532 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
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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.