HUDSON HEADWATERS HEALTH NETWORK (NPI# 1518375278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518375278 |
| Entity Type | Organization |
| Organization Name | HUDSON HEADWATERS HEALTH NETWORK |
| Practice Address |
112 Ski Bowl Rd North Creek NY 12853-2607 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5187610300 |
| Practice Fax Number | 5188242318 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5187451378 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | CHRISTOPHER TOURNIER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5187610300 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUDSON HEADWATERS HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528611084 | Hudson Headwaters Health Network | Clinic/Center | 27 Hyland Dr, Lake Luzerne, NY 12846-3923 | 2019-07-23 |
| 1780030908 | Hudson Headwaters Health Network | Clinic/Center | 1 Glen St, Glens Falls, NY 12801-4439 | 2016-05-06 |
| 1427452200 | Hudson Headwaters Health Network | Family Medicine | 353 Schroon River Rd, Warrensburg, NY 12885-4807 | 2014-10-22 |
| 1386657534 | Hudson Headwaters Health Network | Nurse Practitioner | 28 S Western Ave, Queensbury, NY 12804-3323 | 2006-08-15 |
| 1952319386 | Hudson Headwaters Health Network | Social Worker | 101 Adirondack Drive, Suite 2, Ticonderoga, NY 12883 | 2006-08-03 |
| 1073529301 | Hudson Headwaters Health Network | Dentist | 3761 Main St, Warrensburg, NY 12885-1837 | 2006-07-31 |
| 1548276801 | Hudson Headwaters Health Network | Family Medicine | 6356 Nys Route 30, Indian Lake, NY 12842-2021 | 2006-07-31 |
| 1356355952 | Hudson Headwaters Health Network | Family Medicine | 1299 Route 9, Gansevoort, NY 12831-1560 | 2006-07-28 |
| 1295758423 | Hudson Headwaters Health Network | Family Medicine | 11 Cross St, Bolton Landing, NY 12814-0539 | 2006-07-26 |
| 1609899848 | Hudson Headwaters Health Network | Social Worker | 6223 State Route 9, Chestertown, NY 12817-2823 | 2006-07-26 |
| Street Address |
112 SKI BOWL RD |
| City | NORTH CREEK |
| State | NY |
| Zip Code | 12853-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550042 | Adirondack Tri-county Nursing and Rehabilitation Center, Inc | Skilled Nursing Facility | 112 Ski Bowl Rd, North Creek, NY 12853 | 2005-09-30 |
| 1447710447 | Jillian Montreuil Thomas | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2019-03-25 |
| 1609348713 | Sungji Joun | Physical Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2018-12-31 |
| 1326533852 | Taylor Dufrain | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2018-06-27 |
| 1205345501 | 112 Ski Bowl Road Operating Company, LLC | Skilled Nursing Facility | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2017-09-29 |
| 1417187113 | Patricia R Elmen | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2009-07-16 |
| 1366676215 | Christoper Michael Grant | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2009-05-06 |
| 1649412982 | Michael Graham Miles | Internal Medicine | 112 Ski Bowl Rd, North Creek, NY 12853 | 2009-04-01 |
| 1235229618 | Karin Ash | Physical Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-0500 | 2006-10-13 |
| 1346336401 | Kathleen B Ryan | Physical Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-0500 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508350281 | Anne Margaret Van Huben | Occupational Therapist | Elderwood At North Creek, 112 Ski Bowl Road, North Creek, NY 12853 | 2018-06-18 |
| 1952785149 | Lynn Micha May | Speech-Language Pathologist | 112 Sk. Bowl Road, Adirondack Tri-county Nursing and Rehabilitation Center, North Creek, NY 12853 | 2015-07-17 |
| 1245479534 | Lori P Benton | Massage Therapist | 260 Main St., North Creek, NY 12853 | 2009-02-11 |
| 1801033279 | Deidre M. Convery-bernard | Speech-Language Pathologist | 301 Cobble Creek Rd, North Creek, NY 12853 | 2009-01-07 |
| 1235113804 | Johnsburg Emergency Squad Inc | Ambulance | 624 Peaceful Valley Road, North Creek, NY 12853 | 2005-12-06 |
| 1972020634 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 284 Main St, North Creek, NY 12853 | 2017-08-24 |
| 1245493121 | Diana Lynn Dymond-burna | Physical Therapist | 112 Ski Bowl Road, North Creek, NY 12853 | 2008-07-09 |
| 1710172713 | Jill L Hodgson | Occupational Therapist | 165 Main Street, North Creek, NY 12853 | 2007-09-12 |
| 1942401518 | Frank Howard Klippel | Pharmacist | 284 Main Street, North Creek, NY 12853 | 2007-05-30 |
| 1821084542 | Thomas Cunningham | Internal Medicine | 15 Milton Avenue, North Creek, NY 12853-0000 | 2005-09-27 |
| Find all providers in zip 12853 | ||||
| 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 |
|---|---|---|---|---|
| 1649412982 | Michael Graham Miles | Internal Medicine | 112 Ski Bowl Rd, North Creek, NY 12853 | 2009-04-01 |
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|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 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 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CREEK |
| Zip Code | 12853 |
Please comment or provide details below to improve the information on HUDSON HEADWATERS HEALTH NETWORK.
| 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.