GLENS FALLS HOSPITAL INC. (NPI# 1760800635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760800635 |
| Entity Type | Organization |
| Organization Name | GLENS FALLS HOSPITAL INC. |
| Other Organization Name | EMERGENCY CARE CENTER |
| Practice Address |
100 Park St Emergency Care Center Glens Falls NY 12801-4413 |
| Practice Telephone | 5189266992 |
| Practice Fax Number | 5189266983 |
| Mailing Telephone | 5189266992 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MITCHELL AMADO (SVP FINANCE AND CFO) |
| Authorized Official Telephone | 5189265113 |
| Is Organization Subpart | Y |
| Parent Organization Name | GLENS FALLS HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PART B | 70021A | 01 |
| Other Name | Type Code |
|---|---|
| Emergency Care Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831586999 | Glens Falls Hospital Inc. | Urology | 102 Park St Ste 201, Gfh - Adirondack Urology, Glens Falls, NY 12801-4449 | 2015-04-16 |
| 1497276497 | Glens Falls Hospital Inc. | Orthopaedic Surgery | 14 Hudson Ave, Glens Falls, NY 12801 | 2017-06-29 |
| 1700337664 | Glens Falls Hospital Inc. | Internal Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2016-10-17 |
| 1134675556 | Glens Falls Hospital Inc. | Psychiatry & Neurology | 102 Park St, Glens Falls, NY 12801-4403 | 2016-08-26 |
| 1598122988 | Glens Falls Hospital Inc. | Orthopaedic Surgery | 102 Park St, Glens Falls, NY 12801-4403 | 2016-01-15 |
| 1497010722 | Glens Falls Hospital Inc. | Internal Medicine | 327 Broadway, Fort Edward Internal Medicine, Fort Edward, NY 12828-1233 | 2012-07-12 |
| 1336198217 | Glens Falls Hospital Inc. | Emergency Medicine | 100 Park St, Glens Falls, NY 12801 | 2006-05-09 |
| Street Address |
100 PARK ST EMERGENCY CARE CENTER |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035371 | Edward George Gyukeri Jr. | Specialist | 100 Park St, Glens Falls, NY 12801-4413 | 2005-07-05 |
| 1962009753 | Judith Mary Dalbey | Registered Nurse | 100 Park St, Glens Falls, NY 12801-4447 | 2020-10-05 |
| 1295342947 | Paige Elizabeth Howk | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2020-09-28 |
| 1437797586 | Wayne C Croyle | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2019-12-18 |
| 1386293074 | Shelby Faith Horn | Occupational Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2019-09-05 |
| 1457815011 | Jennifer Rowley Md Pllc | Internal Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2019-01-29 |
| 1710457866 | Kenneth Frank Dagles | Nurse Anesthetist, Certified Registered | 100 Park St, Glens Falls, NY 12801-4447 | 2018-12-03 |
| 1619454592 | Cecilia D Hayes | Nurse Practitioner | 100 Park St, Glens Falls, NY 12801-4447 | 2018-07-24 |
| 1043796816 | Melody K Long | Physician Assistant | 100 Park St, Glens Falls, NY 12801-4447 | 2018-07-16 |
| 1861978710 | Aaron B Heckler | Physician Assistant | 100 Park St, Glens Falls, NY 12801-4413 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467815894 | Travis Minzloff | Emergency Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2016-04-02 |
| 1174943583 | Andrew Bachman | Emergency Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2014-04-24 |
| 1023375938 | Erin Morine | Emergency Medicine | 100 Park St, Department of Emergency Medicine, Glens Falls, NY 12801-4413 | 2012-04-16 |
| 1447541271 | Eric Willard Rogers | Emergency Medicine | 100 Park Street, Glens Falls Hospital, Glens Falls, NY 12801 | 2011-04-27 |
| 1780838631 | Trevor Edward Black | Emergency Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2008-11-05 |
| 1295938793 | John Agresta | Emergency Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2007-06-11 |
| 1205958659 | Robert Daniel Desiderio | Emergency Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2007-04-05 |
| 1467463414 | Joanne Marie Mcdonough | Emergency Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2006-08-11 |
| 1336198217 | Glens Falls Hospital Inc. | Emergency Medicine | 100 Park St, Glens Falls, NY 12801 | 2006-05-09 |
| 1184692642 | Michael Curran Robinson | Emergency Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2006-03-10 |
| Find all providers in GLENS FALLS | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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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.