NORTHERN MEDICAL GROUP PLLC (NPI# 1386180677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386180677 |
| Entity Type | Organization |
| Organization Name | NORTHERN MEDICAL GROUP PLLC |
| Practice Address |
159 Barnegat Rd Ste 201 Poughkeepsie NY 12601-5402 |
| Mailing Address |
111 Clock Tower Cmns Brewster NY 10509-4055 |
| Practice Telephone | 8454713500 |
| Mailing Telephone | 8452795187 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | DR. MADDIPOTI CHOUDRY (OWNER) |
| Authorized Official Telephone | 8452795187 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245774637 | Northern Medical Group Pllc | Podiatrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2016-12-05 |
| 1235681537 | Northern Medical Group Pllc | Clinic/Center | 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 | 2016-11-03 |
| Street Address |
159 BARNEGAT RD STE 201 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508988577 | Frank Popovic | Podiatrist | 460 Freedom Plains Rd, Poughkeepsie, NY 12603-2676 | 2007-04-03 |
| 1053382838 | Robert Charles Parajon | Podiatrist | 243 North Rd Ste 101, Poughkeepsie, NY 12601-1173 | 2006-01-30 |
| 1295728582 | James J Delorenzo | Podiatrist | 143 Hooker Ave, Poughkeepsie, NY 12601-4936 | 2005-08-23 |
| 1639179294 | Lewis J Sims Dpm P.C. | Podiatrist | 19 Baker Ave Ste 203, Poughkeepsie, NY 12601-1375 | 2005-07-26 |
| 1134128960 | Lewis J. Sims | Podiatrist | 19 Baker Ave, Ste 203, Poughkeepsie, NY 12601-1375 | 2005-07-14 |
| 1538163290 | Audra Rochelle Siegel | Podiatrist | 22 Fairmont Ave, Poughkeepsie, NY 12603-2422 | 2005-06-10 |
| 1538790951 | Health Quest Medical Practice, PC | Podiatrist | 23 Davis Ave, Poughkeepsie, NY 12603-2455 | 2020-02-04 |
| 1265998868 | Health Quest Medical Practice, PC | Podiatrist | 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 | 2019-02-19 |
| 1336699313 | Premier Medical Group of The Hudson Valley, P.C. | Podiatrist | 243 North Rd Ste 101, Poughkeepsie, NY 12601-1173 | 2016-10-13 |
| 1760939581 | Premier Medical Group of The Hudson Valley, P.c | Podiatrist | 22 Fairmont Ave, Poughkeepsie, NY 12603-2422 | 2016-09-09 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on NORTHERN MEDICAL GROUP PLLC.
| 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.