KIM STUART VAN DER VEER (NPI# 1437119062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437119062 |
| Entity Type | Individual |
| Full Name | KIM STUART VAN DER VEER |
| Credential | DC, CCSP |
| Practice Address |
1134 Troy Schenectady Rd Latham NY 12110-1006 |
| Practice Telephone | 5187831908 |
| Practice Fax Number | 5187831909 |
| Mailing Telephone | 5187831908 |
| Mailing Fax Number | 5187831909 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
X005017 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CDPHP PROV. # | 10019433 | 01 |
| NY | BLUE SHIELD PROV. # | 000445021001 | 01 |
| NY | GHI | 0013200 | 01 |
| NY | PRISM PROV. # | 141690724-01 | 01 |
| NY | ACN GROUP | 911601 | 01 |
| NY | UNITED HEALTHCARE | 566114 | 01 |
| NY | BCBS PROV. # | X3317 | 01 |
| Street Address |
1134 TROY SCHENECTADY RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043859150 | Brian Lotempio | Chiropractor | 435 5th Ave Fl 4, New York, NY 10016-2208 | 2020-01-06 |
| 1912462714 | Binghamton Chiropractic Pllc | Chiropractor | 95 Court St Ste G1, Binghamton, NY 13901-3312 | 2019-02-05 |
| 1912415845 | Tjb Chiropractic Pllc | Chiropractor | 10 Hanover Square, New York, NY 10005 | 2018-01-12 |
| 1093249799 | Natural Approach Chiropractic, PC | Chiropractor | 13618 39th Ave Ste 706, Flushing, NY 11354-5583 | 2017-04-19 |
| 1356688691 | Dr. Michael Fernandez Chiropractic, P.C. | Chiropractor | 2543 Route 44 55, Gardiner, NY 12525-5214 | 2013-01-07 |
| 1407105554 | Leigh Damkohler, Dc, PC | Chiropractor | 8 Bacon Pl, Yonkers, NY 10710-1204 | 2012-09-05 |
| 1477859775 | Brad Lacroix | Chiropractor | 287 Fall St, Seneca Falls, NY 13148-1516 | 2011-02-03 |
| 1376849604 | Robert James Bencivenga | Chiropractor | 27 Cedar Swamp Rd, Glen Cove, NY 11542-3728 | 2011-02-03 |
| 1952568792 | Mark A Capodanno | Chiropractor | 6 Wainer Ct, Centerport, NY 11721-1523 | 2008-05-20 |
| 1720275654 | Daniel C Minocchi | Chiropractor | 4545 Transit Rd Ste 640, Williamsville, NY 14221-6012 | 2007-09-25 |
| Find all providers with the same taxonomy | ||||
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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.