CATSKILL REGIONAL MEDICAL CENTER (NPI# 1720039563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720039563 |
| Entity Type | Organization |
| Organization Name | CATSKILL REGIONAL MEDICAL CENTER |
| Other Organization Name | CRMC PHYSICIAN SERVICES |
| Practice Address |
68 Harris Bushville Rd Monticello NY 12701-3027 |
| Mailing Address |
Po Box 421 Harris NY 12742-0421 |
| Practice Telephone | 8457943300 |
| Practice Fax Number | 8457949868 |
| Mailing Telephone | 8457943300 |
| Mailing Fax Number | 8457949868 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | MS. DARLA MAY ARCIDIACONO (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8457943300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5263000H | NY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02339375 | 05 |
| Other Name | Type Code |
|---|---|
| CRMC Physician Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATSKILL REGIONAL MEDICAL CENTER | 68 Harris Bushville Rd, Harris, NY 12742 |
| New York State Corporations | CATSKILL REGIONAL MEDICAL CENTER FOUNDATION, INC. | Po Box 800, 68 Harris-bushville Rd., Harris, Ny 127420800 |
| Street Address |
68 HARRIS BUSHVILLE RD |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370052 | Wing Chau | Pathology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2005-10-19 |
| 1871015586 | Adrianna Lovric | Nurse Practitioner | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2017-07-13 |
| 1215331327 | John Bubb | Registered Nurse | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2014-10-17 |
| 1902128424 | Danielle Marie Halloran | Registered Nurse | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2010-02-25 |
| 1528203528 | Cathleen Ann Patane | Nurse Practitioner | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2008-12-05 |
| 1689872012 | Brij Mohan | Surgery | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2007-07-06 |
| 1093802753 | Khin M Myo | Psychiatry & Neurology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2006-10-06 |
| 1548247596 | Khin Soe | Psychiatry & Neurology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2005-12-29 |
| 1972586063 | Joseph Vincent Napolitano | Pathology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| 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 |
|---|---|---|---|---|
| 1679914675 | Mitchell Hammel | Family Medicine | 100 W Washington St Ste 101, Monticello, IL 61856-1713 | 2013-07-08 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| 1053566232 | Monticello Family Medicine & Walk-in Center | Family Medicine | 10 Prince St Ste 7, Monticello, NY 12701-1919 | 2008-12-01 |
| 1326248774 | James Wyatt Stephens | Family Medicine | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2007-07-24 |
| 1548464993 | Fredy H Cordova | Family Medicine | 766 Hl Ross Dr, Monticello, AR 71655 | 2007-06-11 |
| 1629141494 | Bonita C Musial | Family Medicine | 314 Main St., Suite D, Monticello, MS 39654-0949 | 2006-11-17 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| 1790865624 | Christine M Foster | Family Medicine | 1293 N Main St Ste 102, Monticello, KY 42633-1945 | 2006-10-16 |
| 1962598490 | Abraham G. Garfinkel | Family Medicine | 15 Hamilton Ave, Monticello, NY 12701-1319 | 2006-10-04 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
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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.