ST.PETERS HEALTH PARTNERS MEDICAL ASSOICATES PC (NPI# 1720474554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720474554 |
| Entity Type | Organization |
| Organization Name | ST.PETERS HEALTH PARTNERS MEDICAL ASSOICATES PC |
| Other Organization Name | SPHPMA RADIOLOGY DIVISION |
| Practice Address |
1 Tallow Wood Drive St. Peter's Medical Imaging Clifton Park NY 12065-2807 |
| Mailing Address |
Po Box 14890 Albany NY 12212 |
| Practice Telephone | 5183734448 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST.PETERS HEALTH PARTNERS MEDICAL ASSOICATES PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SPHPMA Radiology Division | Doing Business As Name - Organization |
| Street Address |
1 TALLOW WOOD DRIVE ST. PETER'S MEDICAL IMAGING |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494054 | Karen A Doherty-wells | Physician Assistant | 1 Tallow Wood Drive, Clifton Park Family Practice, Clifton Park, NY 12065 | 2005-08-16 |
| 1457812877 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, St. Peter's Family Medicine, Clifton Park, NY 12065 | 2019-03-28 |
| 1497239453 | Samaritan Hospital of Troy, New York | Midwife | 1 Tallow Wood Drive, Clifton Park, NY 12065-2807 | 2018-09-17 |
| 1164905113 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, Clifton Park, NY 12065-2807 | 2018-09-14 |
| 1932608080 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 1 Tallow Wood Drive, Troy Surgical Associates, Clifton Park, NY 12065 | 2018-02-05 |
| 1801260435 | Seton Health System, Inc. | Clinic/Center | 1 Tallow Wood Drive, St. Peter's Urgent Care, Clifton Park, NY 12065-2807 | 2015-11-19 |
| 1558598367 | Dawne Louise Parker | Nurse Practitioner | 1 Tallow Wood Drive, Clifton Park Family Practice, Clifton Park, NY 12065 | 2009-06-18 |
| 1942311618 | Eileen M Murphy | Nurse Practitioner | 1 Tallow Wood Drive, St. Peter's Urgent Care, Clifton Park, NY 12065 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922248 | Albany Advanced Imaging Pllc | Radiology | 648 Plank Rd, Clifton Park, NY 12065-2062 | 2005-12-14 |
| 1508100140 | Schenectady Radiologists, P.C. | Radiology | 103 Sitterly Road, Clifton Park, NY 12065 | 2012-11-20 |
| 1447359054 | Michael D. Green | Radiology | 3 Emma Ln, Clifton Park, NY 12065-3763 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960690 | New York Medical Diagnostic Imaging PC | Radiology | 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 | 2020-10-20 |
| 1700490034 | Hudson Valley Radiologists, PC | Radiology | 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 | 2020-09-03 |
| 1730702986 | Hudson Valley Radiologists, PC | Radiology | 17 Argent Dr, Poughkeepsie, NY 12603-6040 | 2020-05-22 |
| 1114540366 | Hudson Valley Radiologists, PC | Radiology | 12 Caliguiri Ct, Lagrangeville, NY 12540-4912 | 2020-05-22 |
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1124641378 | Hudson Valley Radiologists, PC | Radiology | 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 | 2020-05-22 |
| 1023631272 | Hudson Valley Radiologists, PC | Radiology | 3 Riding Ridge Trl, Beacon, NY 12508-7023 | 2020-05-22 |
| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1215550462 | Hudson Valley Radiologists, PC | Radiology | 50 Leonard St Unit 106, Beacon, NY 12508-3455 | 2020-05-22 |
| 1285257519 | Hudson Valley Radiologists, PC | Radiology | 14 Hilee Rd, Rhinebeck, NY 12572-2347 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
Please comment or provide details below to improve the information on ST.PETERS HEALTH PARTNERS MEDICAL ASSOICATES PC.
| 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.