COMMUNITY CARE PHYSICIANS, PC (NPI# 1366723082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366723082 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | CAPITALCARE FAMILY PRACTICE CLIFTON PARK |
| Practice Address |
939 Route 146 Ste 700 Clifton Park NY 12065-3662 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183830891 |
| Practice Fax Number | 5183831662 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | DEBBY COONS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5182130478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CapitalCare Family Practice Clifton Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025888 | Community Care Physicians, PC | Surgery | 2520 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2017-11-02 |
| 1255853065 | Community Care Physicians, PC | Family Medicine | 711 Troy Schenectady Rd Ste 109, Latham, NY 12110-2454 | 2017-07-13 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| 1780956474 | Community Care Physicians, PC | Obstetrics & Gynecology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-01-27 |
| 1285905786 | Community Care Physicians, PC | Internal Medicine | 199 Delaware Ave, Delmar, NY 12054-1229 | 2012-01-16 |
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1841573706 | Community Care Physicians, PC | Pediatrics | 942 A Route 146, Clifton Park, NY 12605-3614 | 2011-09-27 |
| 1104109065 | Community Care Physicians, PC | Internal Medicine | 2546 Balltown Road, Suite 200, Schenectady, NY 12309-1079 | 2011-09-27 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1093097586 | Community Care Physicians, PC | Family Medicine | 2524 Us Route 9w, Ravena, NY 12143-2804 | 2011-09-12 |
| Street Address |
939 ROUTE 146 STE 700 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265413470 | Sherrie L Murray | Nurse Practitioner | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2005-11-07 |
| 1548754468 | Jennifer Anne Hale | Physician Assistant | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2018-06-15 |
| 1750887329 | Jonathan Thomas Dore | Physician Assistant | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2018-04-03 |
| 1679005326 | Krista Nicole Morales | Family Medicine | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2017-03-31 |
| 1962851527 | Ashley Marie Yackeren | Physician Assistant | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2016-06-05 |
| 1336526805 | Zack Steven Emery | Family Medicine | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2015-05-04 |
| 1982619615 | Steffani L Cotugno | Family Medicine | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| 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 |
|---|---|---|---|---|
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1073583738 | Renata N Mazzei -klokiw | Family Medicine | 103 Sitterly Road, Suite 2300, Clifton Park, NY 12065-1026 | 2006-01-25 |
| 1942287842 | James C Craig | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2005-12-30 |
| 1790205334 | Niki Marie Querim | Family Medicine | 9 Old Plank Rd, Ste 100, Clifton Park, NY 12065-3107 | 2017-06-25 |
| 1679005326 | Krista Nicole Morales | Family Medicine | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2017-03-31 |
| 1336526805 | Zack Steven Emery | Family Medicine | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2015-05-04 |
| 1245677426 | Luis Daniel Diaz | Family Medicine | 1783 Route 9, Suite 204, Clifton Park, NY 12065 | 2013-05-29 |
| 1841584018 | Alice Yu | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2011-06-06 |
| 1336460823 | Mark Doyle | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065 | 2010-06-18 |
| 1184854101 | Neema R. Afejuku-adelaja | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2009-07-24 |
| Find all providers in CLIFTON PARK | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.