COMMUNITY CARE PHYSICIANS, PC (NPI# 1659494094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659494094 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | COMMUNITY CARE OB/GYN & MIDWIFERY |
| Practice Address |
713 Troy Schenectady Rd Ste 215 Latham NY 12110-2490 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183707937 |
| Practice Fax Number | 5183772983 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | SHIRISH PARIKH (CEO) |
| Authorized Official Telephone | 5182130478 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | JAIME NASS, CNM NPI | 1053471755 | 01 |
| NY | REBECCA ESKIN CNM NPI | 1780764704 | 01 |
| NY | CAREN CROOTOF, CNM NPI | 12059825058 | 01 |
| NY | DR. SATTAR NPI | 1053471730 | 01 |
| NY | 02335220 | 05 | |
| NY | DR. KERNER NPI | 1205996998 | 01 |
| NY | 00743302 | 05 |
| Other Name | Type Code |
|---|---|
| Community Care OB/GYN & Midwifery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025888 | Community Care Physicians, PC | Surgery | 2520 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2017-11-02 |
| 1255853065 | Community Care Physicians, PC | Family Medicine | 711 Troy Schenectady Rd Ste 109, Latham, NY 12110-2454 | 2017-07-13 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| 1780956474 | Community Care Physicians, PC | Obstetrics & Gynecology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-01-27 |
| 1285905786 | Community Care Physicians, PC | Internal Medicine | 199 Delaware Ave, Delmar, NY 12054-1229 | 2012-01-16 |
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1841573706 | Community Care Physicians, PC | Pediatrics | 942 A Route 146, Clifton Park, NY 12605-3614 | 2011-09-27 |
| 1104109065 | Community Care Physicians, PC | Internal Medicine | 2546 Balltown Road, Suite 200, Schenectady, NY 12309-1079 | 2011-09-27 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1093097586 | Community Care Physicians, PC | Family Medicine | 2524 Us Route 9w, Ravena, NY 12143-2804 | 2011-09-12 |
| Street Address |
713 TROY SCHENECTADY RD STE 215 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477104172 | Victoria Marie Mitchell | Advanced Practice Midwife | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2019-09-24 |
| 1578119202 | Julie Anne Washington | Advanced Practice Midwife | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2019-08-19 |
| 1598327876 | Sherrie Hunter Kelly | Midwife | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2019-07-08 |
| 1902392517 | Abigail R Rauf | Advanced Practice Midwife | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2018-07-06 |
| 1013370782 | Alexandra Burke | Obstetrics & Gynecology | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2016-03-31 |
| 1487053039 | Rachel Elizabeth Colfer | Physician Assistant | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2014-08-20 |
| 1417190653 | Danielle Marie Rooney | Obstetrics & Gynecology | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2009-04-17 |
| 1134316581 | Rosemary L Gardner | Physician Assistant | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396959110 | W Bruce Clark Md PC | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5701 | 2007-05-10 |
| 1518030873 | Philip Carlisle Clements | Obstetrics & Gynecology | 585 New London Rd, Latham, NY 12110-5701 | 2006-11-16 |
| 1235202599 | William Bruce Clark | Obstetrics & Gynecology | 585 Lew Loudon Road, Latham, NY 12110-5701 | 2006-11-16 |
| 1538232897 | Humera Sabahath Syeda | Obstetrics & Gynecology | 585 New London Road, Latham, NY 12110-5701 | 2006-11-16 |
| 1437177334 | Elina Burstyn | Obstetrics & Gynecology | 711 Troy Schenectady Rd Ste 205, Latham, NY 12110-2461 | 2006-07-18 |
| 1851351902 | Marco Antonio Arrascue | Obstetrics & Gynecology | 1202 Troy Schenectady Rd, Building 2, Latham, NY 12110-1095 | 2006-03-24 |
| 1740289461 | Usha H Bakhru | Obstetrics & Gynecology | 713 Troy Schenectady Rd, Latham, NY 12110-2490 | 2005-07-14 |
| 1326695917 | Betsy Varghese Rajan | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5773 | 2019-08-20 |
| 1114449030 | Kimberly Domalewicz | Obstetrics & Gynecology | 585 New Loudon Road, Latham, NY 12110 | 2017-07-12 |
| 1700326766 | Elizabeth Kreuter | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5701 | 2017-02-24 |
| Find all providers in LATHAM | ||||
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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.