MEMORIAL HOSPITAL (NPI# 1306973805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306973805 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL |
| Practice Address |
207 Shirlwood Dr Schenectady NY 12306-3417 |
| Practice Telephone | 5183559281 |
| Mailing Telephone | 5183559281 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. COLLEEN KNAUPP (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 5184713221 |
| Authorized Official Credential | RPA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
003438 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447992 | Memorial Hospital | General Acute Care Hospital | 1400 E. Boulder St. #3138, Colorado Springs, CO 80045 | 2015-05-19 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1609073709 | Memorial Hospital | Nurse Practitioner | 9099 E Lansing Rd Ste B, Durand, MI 48429-1083 | 2007-07-02 |
| 1003025883 | Memorial Hospital | Psychiatric Residential Treatment Facility | 806 Central Ave Se, Albuquerque, NM 87102-3606 | 2007-05-21 |
| 1376759563 | Memorial Hospital | Family Medicine | 86 Savannah Lane, Bulan, KY 41722 | 2007-05-15 |
| 1598977787 | Memorial Hospital | Family Medicine | 3337 W Britton Rd, Perry, MI 48872 | 2007-05-03 |
| 1639209232 | Memorial Hospital | Internal Medicine | 1480 N M 52, Owosso, MI 48867-1235 | 2007-03-06 |
| 1851338149 | Memorial Hospital | General Acute Care Hospital | 715 South Taft Avenue, Fremont, OH 43420-3200 | 2006-06-02 |
| 1316923485 | Memorial Hospital | Hospice Care, Community Based | 1412 6th Ave, York, PA 17403-2648 | 2005-12-20 |
| 1477548774 | Memorial Hospital | General Acute Care Hospital | 1785 4th Ave, York, PA 17403-2615 | 2005-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL | 224 E 2nd St, Dumas, TX 79029-3808 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL & HEALTH CARE CENTER | 800 W 9th St, Jasper, IN 47546-2514 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC | 112 East Fifth Avenue, Antigo, WI 54409-2710 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND HOMES ASSOCIATION, INC. | 415 8th Ave Sw, Perham, MN 56573-1156 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MANOR | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MEDICAL CENTER | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701-5846 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL CENTRAL | 1400 E Boulder St, Colorado Springs, CO 80909-5533 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL EAST | 1404 Cross St, Shiloh, IL 62269-2988 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES | 1275 York Ave, New York, NY 10065-6007 |
| Street Address |
207 SHIRLWOOD DR |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12306-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475443 | Breanna Burkes Maggart | Behavioral Analyst | 1136 North Westcott Rd. Suite 100, Schenectady, NY 12306 | 2018-11-02 |
| 1043708720 | Lindsay Taylor Taber | Specialist | 1136 North Wescott Road, Suite 100, Schenectady, NY 12306 | 2018-04-27 |
| 1033654744 | Jessica Luisa De Marco | Counselor | 1004 Schuyler Avenue, Schenectady, NY 12306 | 2017-01-04 |
| 1376085357 | Alissa Paratore | Occupational Therapist | 1136 N Westcott Rd., Rotterdam, NY 12306 | 2016-11-08 |
| 1295143816 | Cvc Dental Arts Inc | Dentist | 2210 Gullderland Ave, Schenectady, NY 12306 | 2014-07-28 |
| 1528345725 | Rochelle Marie Cortelyou | Registered Nurse | 2300 Guilderland Ave, Van Corlaer Elementary School, Schenectady, NY 12306 | 2011-11-16 |
| 1013243286 | Julie H Lafontaine | Occupational Therapist | 1136 North Westcott Rd., Suite 100, Schenectady, NY 12306 | 2009-10-23 |
| 1093960189 | Marilyn S. Mooney | Speech-Language Pathologist | 509 Giffords Church Rd., Schenectady, NY 12306 | 2008-11-18 |
| 1962650499 | Christine Ann Mainella | Pharmacist | 521 Duanesburg Rd., Schenectady, NY 12306 | 2008-09-09 |
| 1508025214 | Anthony A Cinelli | Dentist | 1009 Wallace Ave, Schenectady, NY 12306 | 2008-06-06 |
| Find all providers in zip 12306 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291522 | Daniel Mclaren | Physician Assistant | 530 Liberty St, Schenectady, NY 12305-2014 | 2019-12-09 |
| 1871907840 | Rebecca Grugan | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2014-06-17 |
| 1386988418 | Maria Mooken | Physician Assistant | 1101 Nott St, B2, Schenectady, NY 12308-2425 | 2012-11-15 |
| 1013295484 | Lynn Ann Craft | Physician Assistant | 1101 Nott St, Schenectady, NY 12308 | 2011-08-02 |
| 1508012782 | Tara C Halvax | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2008-08-07 |
| 1518161140 | Patricia Louise Paone | Physician Assistant | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2007-06-14 |
| 1073535498 | Penny L. Mcelheny | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-07-24 |
| 1215955075 | Paul M Reo | Physician Assistant | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2006-07-18 |
| 1811915903 | Michael K. Grugan | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-07-17 |
| 1467470641 | Caterina Giuseppa Lucke | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-07-17 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12306 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL.
| 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.