FAXTON-ST. LUKES HEALTHCARE (NPI# 1598851545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598851545 |
| Entity Type | Organization |
| Organization Name | FAXTON-ST. LUKES HEALTHCARE |
| Practice Address |
91 Perimeter Rd Ste. 140 Rome NY 13441 |
| Mailing Address |
2209 Genesee St/ Business Office Room #315 Utica NY 13501-5809 |
| Practice Telephone | 3153344786 |
| Practice Fax Number | 3156245152 |
| Mailing Telephone | 3158013282 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | CODY WHITE (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 3158014429 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAXTON-ST. LUKE'S HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
3202003H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417127721 | Faxton-st. Lukes Healthcare | Clinic/Center | 10 Eaton St, Suite 102, Hamilton, NY 13346 | 2008-03-04 |
| 1124228770 | Faxton-st. Lukes Healthcare | Clinic/Center | 2150 Bleecker St, Utica, NY 13501-1738 | 2007-07-23 |
| 1184717837 | Faxton-st. Lukes Healthcare | Rehabilitation Unit | 1650 Champlin Ave, Utica, NY 13502 | 2006-10-02 |
| 1205877172 | Faxton-st. Lukes Healthcare | General Acute Care Hospital | 1656 Champlin Ave, Utica, NY 13502 | 2006-06-09 |
| Street Address |
91 PERIMETER RD STE. 140 |
| City | ROME |
| State | NY |
| Zip Code | 13441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702666 | Susan M Grove | Nurse Practitioner | 91 Perimeter Rd, Suite 120, Rome, NY 13441-4018 | 2005-07-07 |
| 1194181073 | Shannon Haggerty | Hearing Instrument Specialist | 91 Perimeter Rd, Suite 180, Rome, NY 13441-4018 | 2016-01-08 |
| 1700254448 | Here We Are | Specialist | 91 Perimeter Rd, Suite 180, Rome, NY 13441-4018 | 2015-09-11 |
| 1730521964 | Kathleen Grabo Pallay | Nurse Practitioner | 91 Perimeter Rd, Rome, NY 13441 | 2013-07-30 |
| 1538466115 | Mohawk Glen Radiology Associates of Cny Pllc | Radiology | 91 Perimeter Rd, Suite 110, Rome, NY 13441-4018 | 2011-02-17 |
| 1144355132 | Mohawk Glen Urgent Care, Pllc | Clinic/Center | 91 Perimeter Rd, Suite 100, Rome, NY 13441-4018 | 2007-02-22 |
| 1629119839 | Carolyn A Cole | Nurse Practitioner | 91 Perimeter Rd, Suite 120, Rome, NY 13441-4018 | 2007-02-09 |
| 1639244692 | Lafountain Chiropractic Center | Chiropractor | 91 Perimeter Rd, Suite 130, Rome, NY 13440 | 2006-11-22 |
| 1902999865 | Jeffery Scott Roy | Physician Assistant | 91 Perimeter Rd, Suite 100, Rome, NY 13441-4018 | 2006-10-02 |
| 1194746354 | Mohawk Glen Family Practice Pllc | Family Medicine | 91 Perimeter Rd, Suite 120, Rome, NY 13441-4018 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831484567 | Griffiss Ec, LLC | Clinic/Center | 105 Dart Circle, Rome, NY 13441 | 2011-06-10 |
| 1437328713 | Duane Leo Wallace | Dentist | 63 Geiger Road, Rome, NY 13441 | 2008-02-21 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1821102161 | Nicholas S Peters | Internal Medicine | 267 Hill Road, Suite 200, Rome, NY 13441 | 2006-08-17 |
| 1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
| 1275590408 | Antonietta Luisi | Optometrist | 125 Brookley Road, Rome, NY 13441 | 2006-05-01 |
| 1851822175 | Elizabeth C Santaniello | Nurse Practitioner | 267 Hill Rd, Rome, NY 13441 | 2017-03-27 |
| 1316208002 | Robert Firth Pickels Jr. | Surgery | 267 Hill Road, Rome, NY 13441 | 2012-05-30 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| 1578874582 | Nicole Dmitri Kekis | Physical Therapist | 130 Brookley Rd., Rome, NY 13441-2530 | 2010-06-24 |
| Find all providers in zip 13441 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851302236 | Harbin Clinic, LLC | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2006-08-10 |
| 1801865803 | Dva Healthcare Renal Care, Inc | Clinic/Center | 1401 Dean St Se, Suite H, Rome, GA 30161-6494 | 2006-03-14 |
| 1356319560 | Dva Healthcare Renal Care Inc | Clinic/Center | 20 Riverbend Dr Sw Ste 100, Rome, GA 30161-6066 | 2006-03-14 |
| 1841777455 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 315 W 10th St Ne Ste 105, Rome, GA 30165-2676 | 2018-07-26 |
| 1851803670 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 221 Technology Pkwy Nw, Rome, GA 30165-1369 | 2017-11-02 |
| 1710499512 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2017-11-02 |
| 1952726945 | Renalsouth of Rome LLC | Clinic/Center | 315 W 10th St Ne, Suite 105, Rome, GA 30165-2676 | 2014-02-27 |
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| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
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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.