DR. PHILIP CARLISLE CLEMENTS (NPI# 1518030873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518030873 |
| Entity Type | Individual |
| Full Name | DR. PHILIP CARLISLE CLEMENTS |
| Credential | MD |
| Practice Address |
585 New London Rd Latham NY 12110-5701 |
| Mailing Address |
585 New London Road Latham NY 12110-5701 |
| Practice Telephone | 5187831472 |
| Practice Fax Number | 5187831605 |
| Mailing Telephone | 5187831472 |
| Mailing Fax Number | 5187831605 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 171241 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01698282 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 713 Troy Schenectady Rd, Latham, NY 121102490 | 5187866270 | |
| 2215 Burdett Ave, Troy, NY 121802466 | 5182713900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811913924 | Philip J Clements | Internal Medicine | 200 Medical Plaza, #214,365,530,420,120, Los Angeles, CA 90095-3075 | 2006-07-14 |
| Street Address |
585 NEW LONDON RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-5701 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396959110 | W Bruce Clark Md PC | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5701 | 2007-05-10 |
| 1659494094 | Community Care Physicians, PC | Obstetrics & Gynecology | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2007-04-09 |
| 1235202599 | William Bruce Clark | Obstetrics & Gynecology | 585 Lew Loudon Road, Latham, NY 12110-5701 | 2006-11-16 |
| 1538232897 | Humera Sabahath Syeda | Obstetrics & Gynecology | 585 New London Road, Latham, NY 12110-5701 | 2006-11-16 |
| 1437177334 | Elina Burstyn | Obstetrics & Gynecology | 711 Troy Schenectady Rd Ste 205, Latham, NY 12110-2461 | 2006-07-18 |
| 1851351902 | Marco Antonio Arrascue | Obstetrics & Gynecology | 1202 Troy Schenectady Rd, Building 2, Latham, NY 12110-1095 | 2006-03-24 |
| 1740289461 | Usha H Bakhru | Obstetrics & Gynecology | 713 Troy Schenectady Rd, Latham, NY 12110-2490 | 2005-07-14 |
| 1326695917 | Betsy Varghese Rajan | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5773 | 2019-08-20 |
| 1114449030 | Kimberly Domalewicz | Obstetrics & Gynecology | 585 New Loudon Road, Latham, NY 12110 | 2017-07-12 |
| 1700326766 | Elizabeth Kreuter | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5701 | 2017-02-24 |
| Find all providers in LATHAM | ||||
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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.