SARATOGA HOSPITAL (NPI# 1568952380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568952380 |
| Entity Type | Organization |
| Organization Name | SARATOGA HOSPITAL |
| Other Organization Name | MECHANICVILLE FAMILY PRACTICE |
| Practice Address |
202 S Central Ave Mechanicville NY 12118 |
| Mailing Address |
202 S Central Ave Mechanicville NY 12118-3522 |
| Practice Telephone | 5185802099 |
| Practice Fax Number | 5185802098 |
| Mailing Telephone | 5185802099 |
| Mailing Fax Number | 5185802098 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | GARY FOSTER (VP/CFO) |
| Authorized Official Telephone | 5185873222 |
| Is Organization Subpart | Y |
| Parent Organization Name | SARATOGA HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mechanicville Family Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177321 | Saratoga Hospital | Clinic/Center | 959 State Route 9 Ste O, Queensbury, NY 12804-6290 | 2019-11-01 |
| 1386067601 | Saratoga Hospital | Internal Medicine | 510 Geyser Road, Ballston Spa, NY 12020 | 2014-01-22 |
| 1962971663 | Saratoga Hospital | Family Medicine | 8 Medical Park Drive, Suite 100, Malta, NY 12020-5050 | 2018-11-26 |
| 1659858553 | Saratoga Hospital | Clinic/Center | 665 Saratoga Rd Ste 100, Gansevoort, NY 12831-1691 | 2018-07-24 |
| 1063908838 | Saratoga Hospital | Podiatrist | 3050 Route 50, Saratoga Springs, NY 12866 | 2018-07-05 |
| 1942718275 | Saratoga Hospital | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2018-01-22 |
| 1700394129 | Saratoga Hospital | Ophthalmology | 3050 Route 50, Saratoga Springs, NY 12866-2958 | 2018-01-19 |
| 1770036774 | Saratoga Hospital | Family Medicine | 19 West Ave, Saratoga Springs, NY 12866-6049 | 2016-07-27 |
| 1518313402 | Saratoga Hospital | Family Medicine | 24 Hamilton St, Saratoga Springs, NY 12866-4226 | 2016-05-10 |
| 1912351784 | Saratoga Hospital | Podiatrist | 119 Lawrence St, Saratoga Springs, NY 12866-1346 | 2016-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SARATOGA HOSPITAL, THE | 211 Church St, Saratoga Springs, NY 12866-1032 |
| New York State Corporations | SARATOGA HOSPITALITY 15V, LLC | 15 Vermont Street, Suite B, Saratoga Springs, Ny 12866 |
| New York State Corporations | SARATOGA HOSPITALITY AT CAROLINE STREET, LLC | 16 Caroline Street, Saratoga, Ny 12866 |
| New York State Corporations | SARATOGA HOSPITALITY AT GAFFNEY'S, LLC | 16 Caroline Street, Saratoga, Ny 12866 |
| Colorado Business Entities | Saratoga Hospitality, LLC | 222 S Morgan St Ste 4d, Chicago, IL 60607-3733 |
| Street Address |
202 S CENTRAL AVE |
| City | MECHANICVILLE |
| State | NY |
| Zip Code | 12118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801857214 | Katherine Herdzik | Family Medicine | 202 S Central Ave, Mechanicville, NY 12118-3530 | 2006-03-28 |
| 1548730039 | Kathy Mcguire | Social Worker | 202 S Central Ave, Mechanicville, NY 12118-3522 | 2018-11-28 |
| 1922479278 | Seton Health System, Inc | Internal Medicine | 202 S Central Ave, Mechanicville, NY 12118-3522 | 2015-10-13 |
| 1508247487 | St. Peters Health Partners Medical Associates, PC | Radiology | 202 S Central Ave, Mechanicville, NY 12118-3522 | 2015-06-16 |
| 1366403172 | Stephen Sgambati Jr. | Family Medicine | 202 S Central Ave, Mechanicville, NY 12118-3530 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760998 | Kelly Ann Doering | Social Worker | 2452 U.s Route 9, Suite 206, Mechanicville, NY 12118 | 2020-08-10 |
| 1366050502 | Meghan Ruth Lourie | Social Worker | 2452 U.S. Route 9, Suite 206, Mechanicville, NY 12118 | 2020-07-14 |
| 1245888957 | Keith Simpson | Technician | 21 Camber Ct, Mechanicville, NY 12118 | 2019-08-27 |
| 1275000481 | Mikayla Grace Gowett | Physician Assistant | 7 Musket March, Mechanicville, NY 12118 | 2018-10-25 |
| 1588113252 | Amanda Bane | Social Worker | 2452 Route 9, Suite 206, Mechanicville, NY 12118 | 2016-09-23 |
| 1407095383 | Bruce Richard Clarke | Dentist | 203 North Second Ave, Mechanicville, NY 12118 | 2009-02-17 |
| 1134334857 | Elizabeth Louise Eigner | Registered Nurse | 9grandst, Mechanicville, NY 12118 | 2007-05-14 |
| 1649308404 | Nicole Decrescenzo | Physical Therapist | 218 S. Central Avenue, Mechanicville, NY 12118 | 2007-03-01 |
| 1083704779 | Phyllis M Dellacroce | Chiropractor | 505 Park Ave, Mechanicville, NY 12118 | 2006-10-13 |
| 1295824134 | Ingrid Bermudez | Family Medicine | 242 So Central Ave, Mechanicville, NY 12118 | 2006-10-11 |
| Find all providers in zip 12118 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013352228 | Christine Marie Carle | Family Medicine | 2299 Route 9, Mechanicville, NY 12118-3023 | 2013-05-01 |
| 1295824134 | Ingrid Bermudez | Family Medicine | 242 So Central Ave, Mechanicville, NY 12118 | 2006-10-11 |
| 1801857214 | Katherine Herdzik | Family Medicine | 202 S Central Ave, Mechanicville, NY 12118-3530 | 2006-03-28 |
| 1881668523 | Jan Louise Patterson | Family Medicine | 242 S Central Ave, Mechanicville, NY 12118-3522 | 2006-02-16 |
| 1629400965 | Jan Patterson Md PC | Family Medicine | 242 S Central Ave, Mechanicville, NY 12118-3522 | 2013-08-08 |
| 1346445194 | Marc David Price | Family Medicine | 2388 Route 9, Suite 200, Mechanicville, NY 12118-3433 | 2007-06-20 |
| 1366403172 | Stephen Sgambati Jr. | Family Medicine | 202 S Central Ave, Mechanicville, NY 12118-3530 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICVILLE |
| Zip Code | 12118 |
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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.