MOHAWK VALLEY ORTHOPEDICS, P.C. (NPI# 1578577417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578577417 |
| Entity Type | Organization |
| Organization Name | MOHAWK VALLEY ORTHOPEDICS, P.C. |
| Practice Address |
5010 State Highway 30 Ste 205 Amsterdam NY 12010-7532 |
| Practice Telephone | 5188422663 |
| Practice Fax Number | 5188424861 |
| Mailing Telephone | 5188422663 |
| Mailing Fax Number | 5188424861 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | RUSSELL N.A. CECIL, M.D. (PRESIDENT) |
| Authorized Official Telephone | 5188422663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD | 1578577417 | 01 |
| NY | 02049750 | 05 |
| Street Address |
5010 STATE HIGHWAY 30 STE 205 |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805128 | Gerald James Ortiz | Orthopaedic Surgery | 5010 State Highway 30 Ste 205, Amsterdam, NY 12010-7532 | 2005-10-20 |
| 1194126607 | Abigail Johnson | Physician Assistant | 5010 State Highway 30 Ste 205, Amsterdam, NY 12010 | 2014-09-16 |
| 1255368379 | Michael Christopher Yager | Physician Assistant | 5010 State Highway 30 Ste 205, Amsterdam, NY 12010 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| Find all providers in zip 12010 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002089 | Elizabeth Donna Page | Specialist | 43 Henrietta Blvd, Amsterdam, NY 12010-1110 | 2017-09-20 |
| 1639431901 | Theresa Marie Johnson | Specialist | 465 Locust Ave, Amsterdam, NY 12010-1927 | 2012-06-13 |
| 1104118306 | Sherri Korona | Specialist | 233 Guy Park Ave, Amsterdam, NY 12010-2334 | 2011-05-05 |
| 1003051905 | Amsterdam Orthopedics, Charles J Bertuch,jr,md,pc | Specialist | 124 Polar Plz, Route 30 North, Amsterdam, NY 12010-1610 | 2008-12-05 |
| 1861646440 | Amy L Vanevera | Specialist | 2360 County Highway 107, Amsterdam, NY 12010-6228 | 2008-11-10 |
| 1891977559 | Upstate Medical Associates Pllc | Specialist | 446b Guy Park Ave., Amsterdam, NY 12010-1005 | 2007-12-04 |
| 1942715453 | Jessica Thoman | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2017-12-06 |
| 1902268014 | Kelley Hasselbach | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2016-03-28 |
| 1902262207 | Johnathan Valovic | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2016-01-04 |
| 1194199216 | Eileen Hempstead | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2015-12-01 |
| Find all providers in AMSTERDAM | ||||
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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.