ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. (NPI# 1568707222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568707222 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. |
| Other Organization Name | ST. PETER'S INTERNAL MEDICINE |
| Practice Address |
1240 New Scotland Rd Suite 205 Suite 205 Slingerlands NY 12159 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184759235 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-12-16 |
| 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, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Peter's Internal Medicine | Doing Business As Name - Organization |
| St. Peter's Internal Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1477176634 | St. Peter's Health Partners Medical Associates, P.C. | Clinic/Center | 1301 River Street Suite 202, St. Peter's Obgyn At Valatie, Valatie, NY 12184-8696 | 2020-05-22 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1295211365 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 110b, Albany, NY 12208-1744 | 2018-07-12 |
| 1992227714 | St. Peter's Health Partners Medical Associates, P.C. | Dietitian, Registered | 319 South Manning Blvd Suite 307, Albany, NY 12208 | 2017-07-13 |
| 1922550011 | St. Peter's Health Partners Medical Associates, P.C. | Nutritionist | 2 New Hampshire Ave Ste 200, Troy, NY 12180-1762 | 2016-10-25 |
| 1285061721 | St. Peter's Health Partners Medical Associates, P.C. | Urology | 63 Shaker Rd Ste 202, Albany, NY 12204-1030 | 2013-09-30 |
| 1427394675 | St. Peter's Health Partners Medical Associates, P.C. | Midwife | 31 Lower Hudson Avenue, Green Island, NY 12183-1014 | 2012-12-17 |
| 1083959738 | St. Peter's Health Partners Medical Associates, P.C. | Physical Medicine & Rehabilitation | 1444 Western Ave Ste A, Albany, NY 12203-3458 | 2012-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. | Att: President, 315 S. Manning Blvd, Albany, Ny 12208 |
| Street Address |
1240 NEW SCOTLAND RD SUITE 205 SUITE 205 |
| City | SLINGERLANDS |
| State | NY |
| Zip Code | 12159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795667 | Jennifer Bannigan | Dietitian, Registered | 46 Daniel St, Slingerlands, NY 12159 | 2017-08-10 |
| 1477009082 | Miranda Alfred Lamorte | Occupational Therapy Assistant | 301 Highgate Drive, Slingerlands, NY 12159 | 2016-09-01 |
| 1083043814 | Robert George Westphal | Internal Medicine | 268 Font Grove Rd., Slingerlands, NY 12159 | 2013-11-02 |
| 1750624987 | Valerie Chen | Ophthalmology | 1220 New Scotland Rd Ste 302, Slingerlands, NY 12159 | 2013-04-06 |
| 1235374166 | Joseph Concodora Farrell | Pharmacist | 1395 New Scotland Rd #176, Price Chopper Pharmacy, Slingerlands, NY 12159 | 2008-12-05 |
| 1720232747 | Michele Lynn Ryan | Community Health Worker | 43 Staffords's Xing, Slingerlands, NY 12159 | 2008-11-05 |
| 1396818027 | Virginia M Lazaro | Internal Medicine | 834 Kenwood Avenue, Slingerlands, NY 12159 | 2006-11-17 |
| 1477656080 | Michelene Sohnen | Speech-Language Pathologist | 334 Krumkill Road, Slingerlands, NY 12159 | 2006-09-07 |
| 1235231168 | Margaret Mary Grogan | Internal Medicine | 1525 New Scotland Rd, Slingerlands, NY 12159 | 2006-09-01 |
| 1689785099 | Tanya Lynn Granato | Rehabilitation Counselor | 334 Krumkill Rd, Slingerlands, NY 12159 | 2006-08-31 |
| Find all providers in zip 12159 | ||||
| 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 |
|---|---|---|---|---|
| 1083043814 | Robert George Westphal | Internal Medicine | 268 Font Grove Rd., Slingerlands, NY 12159 | 2013-11-02 |
| 1477990745 | William Michael Duffy | Internal Medicine | 15 Devonshire Dr, Slingerlands, NY 12159-9755 | 2013-05-28 |
| 1396818027 | Virginia M Lazaro | Internal Medicine | 834 Kenwood Avenue, Slingerlands, NY 12159 | 2006-11-17 |
| 1700980836 | Angel B Millora | Internal Medicine | 1882 New Scotland Rd, Slingerlands, NY 12159-3627 | 2006-09-11 |
| 1235231168 | Margaret Mary Grogan | Internal Medicine | 1525 New Scotland Rd, Slingerlands, NY 12159 | 2006-09-01 |
| 1669717260 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 1240 New Scotland Road, Suite 203, Slingerlands, NY 12159-9222 | 2012-12-07 |
| 1083986764 | Community Care Physicians, PC | Internal Medicine | 14 Vista Blvd, Slingerlands, NY 12159-2184 | 2012-01-27 |
| 1134356512 | George Fayk Melad Soryal | Internal Medicine | 1882 New Scotland Rd Ste 200, Slingerlands, NY 12159-3627 | 2009-06-12 |
| 1073682951 | Capital District Metropolitan Medical Assoc PC | Internal Medicine | 1882 New Scotland Road, Slingerlands, NY 12159-0249 | 2006-11-07 |
| 1265515217 | Joanne H. Van Woert, Md, PC | Internal Medicine | 1525 New Scotland Rd, Slingerlands, NY 12159-9278 | 2006-10-23 |
| Find all providers in SLINGERLANDS | ||||
| City | SLINGERLANDS |
| Zip Code | 12159 |
Please comment or provide details below to improve the information on ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C..
| 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.