VILLAGE MEDICAL PLLC (NPI# 1518022755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518022755 |
Entity Type | Organization |
Organization Name | VILLAGE MEDICAL PLLC |
Practice Address |
7 Chapin Lane Pawling NY 12564 |
Practice Telephone | 8458550084 |
Practice Fax Number | 8458551897 |
Mailing Telephone | 8458550084 |
Mailing Fax Number | 8458551897 |
Enumeration Date | 2006-12-27 |
Last Update Date | 2008-02-25 |
Authorized Official Name | DR. PATRICE T PASSIDOMO (OWNER) |
Authorized Official Telephone | 8458550084 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 175691 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01256197 | 05 |
Street Address |
7 CHAPIN LANE |
City | PAWLING |
State | NY |
Zip Code | 12564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184273013 | Bennett Chiropractic Pllc | Chiropractor | 31 Ny-22 #1s, Pawling, NY 12564 | 2019-09-04 |
1699275859 | James Weston Kellogg | Specialist/Technologist | Trinity-pawling School, 700 Route 22, Pawling, NY 12564 | 2018-02-14 |
1780130302 | Virginia Krawczuk | Licensed Practical Nurse | 100 W Main Street, Pawling, NY 12564 | 2016-09-01 |
1184060378 | Elizabeth Anne King | Registered Nurse | 36 Spruce St, Pawling, NY 12564 | 2013-05-15 |
1023329281 | Laurie Schedgick-davis, Do | Pediatrics | 36 Charles Colman Boulevard, Pawling, NY 12564 | 2010-06-23 |
1912140997 | Kenneth Bruce Liegner | Internal Medicine | 592 Route 22, Suite 1b, Pawling, NY 12564 | 2009-04-07 |
1003060443 | Karen L. Wolf | Speech-Language Pathologist | 7 Haight Street, Pawling, NY 12564 | 2008-11-12 |
1356540579 | Marie Elaine Silva | Licensed Practical Nurse | 36 Le Roy La., Pawling, NY 12564 | 2007-07-17 |
1780795229 | Thomas Robert Bloom | Dentist | 217 Old Route 22, Pawling, NY 12564 | 2006-08-31 |
1073955704 | Marisa Emma Ford-mimms | Licensed Practical Nurse | 9 Reservoir Rd, Tawling, NY 12564 | 2013-07-23 |
Find all providers in zip 12564 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467711267 | Lawrence Marc Gerschel | Internal Medicine | 124 Route 22, Pawling, NY 12564-3210 | 2012-05-14 |
1912140997 | Kenneth Bruce Liegner | Internal Medicine | 592 Route 22, Suite 1b, Pawling, NY 12564 | 2009-04-07 |
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1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
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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.