FAXTON-ST LUKES HEALTHCARE (NPI# 1760991491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760991491 |
| Entity Type | Organization |
| Organization Name | FAXTON-ST LUKES HEALTHCARE |
| Practice Address |
131 Main St Ste 101 Oneida NY 13421 |
| Mailing Address |
2209 Genesee St/ Business Office Room #315 Utica NY 13501-5809 |
| Practice Telephone | 3153660360 |
| Mailing Telephone | 3158013282 |
| Enumeration Date | 2017-09-26 |
| 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 LUKES HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123735 | Faxton-st Lukes Healthcare | Health Educator | 1676 Sunset Ave Fl 4, Utica, NY 13502-5416 | 2020-04-22 |
| 1982790937 | Faxton-st Lukes Healthcare | Clinic/Center | 201 E State St, Herkimer, NY 13350 | 2006-10-05 |
| 1679668800 | Faxton-st Lukes Healthcare | Psychiatric Unit | 1656 Champlin Ave, Utica, NY 13502 | 2006-10-04 |
| 1770690737 | Faxton-st Lukes Healthcare | Family Medicine | 4301 Middle Settlement Rd, New Hartford, NY 13413 | 2006-08-24 |
| Street Address |
131 MAIN ST STE 101 |
| City | ONEIDA |
| State | NY |
| Zip Code | 13421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528607454 | Caitlin George | Physical Therapist | 221 Broad Street, Floor 1, Oneida, NY 13421 | 2019-12-23 |
| 1922655786 | Marilyn Rice | Technician | 528 Broadway, Oneida, NY 13421 | 2019-08-26 |
| 1750805016 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2018 Glenwood Plz, Oneida, NY 13421 | 2017-07-28 |
| 1164953345 | Suzanne Ratnour | Contractor | 180 Kenwood Ave, Oneida, NY 13421 | 2017-03-21 |
| 1083945067 | Debra S Buckland | Dental Hygienist | 211 Broad Street, Oneida, NY 13421 | 2010-01-15 |
| 1649454745 | Marylourdes Laramee | Pharmacist | 25 Glenwood Ave, Oneida, NY 13421 | 2007-12-26 |
| 1861674020 | Susan M Vanvranken | Pharmacist | 449 North Main St, Oneida, NY 13421 | 2007-11-29 |
| 1316155286 | Lynne Marie Mchugh | Marriage & Family Therapist | 248 Main St, Oneida, NY 13421 | 2007-05-21 |
| 1356557821 | Andrea Suzanne Stanton | Pharmacist | 2024 Genesee Street, Oneida, NY 13421 | 2007-05-14 |
| 1316098452 | Rebecca Hauck | Counselor | 1019 N. Main St., Oneida, NY 13421 | 2007-01-16 |
| Find all providers in zip 13421 | ||||
| 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 |
|---|---|---|---|---|
| 1518407980 | Utica Partners LLC | Clinic/Center | 2142 Glenwood Shopping Plz, Oneida, NY 13421-2718 | 2017-03-03 |
| 1336236249 | Faxton-st. Luke's Healthcare | Clinic/Center | 221 Broad St., Oneida, NY 13421 | 2006-10-10 |
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|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.