ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1457706731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457706731 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Other Organization Name | ST. PETER'S MS AND HEADACHE CENTER |
| Practice Address |
63 Shaker Road Suite G01 Albany NY 12204-1030 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184292561 |
| Practice Fax Number | 5184292562 |
| Mailing Telephone | 5185255634 |
| Mailing Fax Number | 5186494094 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Peter's MS and Headache Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 63 Shaker Rd Ste 102, Albany, NY 122041030 | 5184292561 | 5184292562 |
| 63 Shaker Road, Suite 102, Albany, NY 122041030 | 5184292561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821535592 | St. Peter's Health Partners Medical Associates, PC | General Practice | 713 Troy Schenectady Rd Ste 304, St. Peter's Ob/gyn At Latham, Latham, NY 12110-2490 | 2017-01-19 |
| 1629512876 | St. Peter's Health Partners Medical Associates, PC | Nurse Practitioner | 582 New Loudon Road, Latham, NY 12110-5707 | 2016-12-07 |
| 1265983530 | St. Peter's Health Partners Medical Associates, PC | General Practice | 2 New Hampshire Avenue, Capital Region Diabetes & Endocrine Care, Troy, NY 12180-1764 | 2016-10-20 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1255871828 | St. Peter's Health Partners Medical Associates, PC | Nutritionist | 279 Troy Road, Family Medical Group, Rensselaer, NY 12144-9518 | 2017-03-02 |
| 1376092692 | St. Peter's Health Partners Medical Associates, PC | Surgery | 2 New Hampshire Ave, St. Peter's Bariatric Care, Troy, NY 12180-1764 | 2016-09-28 |
| 1083168603 | St. Peter's Health Partners Medical Associates, PC | Emergency Medicine | 400 Patroon Creek Blvd, Suite 100, Albany, NY 12206-5013 | 2016-08-11 |
| 1093160822 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2016-04-29 |
| 1720441215 | St. Peter's Health Partners Medical Associates, PC | Internal Medicine | 55 Mohawk St, Suite 105, Cohoes, NY 12047-2629 | 2016-04-01 |
| 1083031983 | St. Peter's Health Partners Medical Associates, PC | Nurse Practitioner | 4 Palisades Dr, Suite 200a, Albany, NY 12205-1443 | 2014-03-28 |
| Street Address |
63 SHAKER ROAD SUITE G01 |
| City | ALBANY |
| State | NY |
| Zip Code | 12204-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356330351 | Elizabeth Anne Nardacci | Nurse Practitioner | 63 Shaker Road, Suite 201, Albany, NY 12204 | 2005-10-21 |
| 1265086789 | Samaritan Hospital of Troy, New York | Family Medicine | 63 Shaker Road, Suite G02, Albany, NY 12204 | 2019-08-01 |
| 1861941544 | Lindsay Elizabeth Gaetani | Nurse Practitioner | 63 Shaker Road, Suite 201, Albany, NY 12203 | 2016-09-23 |
| 1841216868 | William S. Oberheim, Md PC | Urology | 63 Shaker Road, Suite 202 Albany Memorial Professional Building, Albany, NY 12204-1030 | 2006-07-14 |
| 1942261326 | William Steven Oberheim | Urology | 63 Shaker Road, Suite 202 Albany Memorial Professional Building, Albany, NY 12204-1030 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790078608 | George Reeves Throop IIi | Psychiatry & Neurology | 1142 Nw Scenic Dr, Albany, OR 97321-9669 | 2011-05-25 |
| 1295927952 | Jennifer Durphy | Psychiatry & Neurology | 47 New Scotland Ave # Mc-70, Albany, NY 12208-3412 | 2007-08-15 |
| 1831396803 | Kalpesh Patel | Psychiatry & Neurology | 701 14th Ave, Albany, GA 31701-1301 | 2007-07-02 |
| 1720289168 | Farrukh Shaikh Md Pllc | Psychiatry & Neurology | 25 Park Dr, Albany, NY 12204-2243 | 2007-05-31 |
| 1033284625 | Magnolia Medical Center | Psychiatry & Neurology | 701 14th Avenue, Albany, GA 31701 | 2006-11-21 |
| 1245287234 | Francisco Javier Gomez | Psychiatry & Neurology | 110 Wolf Rd, Albany, NY 12205-1244 | 2006-05-27 |
| 1447206206 | Mindy Sanders | Psychiatry & Neurology | 760 Madison Ave, Albany, NY 12208-3428 | 2006-05-25 |
| 1750351862 | William T Garrett | Psychiatry & Neurology | 2709 Meredyth Dr Ste 230, Albany, GA 31707-0218 | 2006-01-23 |
| 1609863448 | New York Oncology Hematology, P.C. | Psychiatry & Neurology | 400 Patroon Creek Blvd., Suite 1, Albany, NY 12206-5014 | 2005-10-05 |
| 1679937338 | Gary Volkell | Psychiatry & Neurology | 47 New Scotland Ave Dept of Neurology, Albany, NY 12208-3412 | 2016-04-08 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC.
| 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.