ST. MARY'S HEALTHCARE (NPI# 1780944553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780944553 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S HEALTHCARE |
| Practice Address |
331 Bridge Street Northville NY 12134 |
| Mailing Address |
380 Guy Park Ave Amsterdam NY 12010 |
| Practice Telephone | 5188634200 |
| Practice Fax Number | 5188634787 |
| Mailing Telephone | 5188417430 |
| Mailing Fax Number | 5188417121 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | NANCY COLLINS (DIRECTOR, PRIMARY CARE) |
| Authorized Official Telephone | 5188417407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 157873 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891056693 | St. Mary's Healthcare | Family Medicine | 84 E State St., Gloversville, NY 12078 | 2012-06-07 |
| 1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
| 1831790369 | St. Mary's Healthcare | General Acute Care Hospital | 4950 State Highway 30, Amsterdam, NY 12010-7520 | 2020-11-02 |
| 1881022804 | St. Mary's Healthcare | General Acute Care Hospital | 1230 Baxter St, Athens, GA 30606-3712 | 2013-10-30 |
| 1326473646 | St. Mary's Healthcare | General Acute Care Hospital | 427 Guy Park Ave, Corporate Responsibility Legal Dept., Amsterdam, NY 12010-1054 | 2013-09-05 |
| 1992065767 | St. Mary's Healthcare | Family Medicine | 7 Timmerman Ave, St. Johnsville, NY 13452 | 2012-05-25 |
| 1346500113 | St. Mary's Healthcare | Family Medicine | 48 Erie Blvd, Canajoharie, NY 13317 | 2012-05-25 |
| 1225398001 | St. Mary's Healthcare | Family Medicine | 4988 State Hwy 30, 2nd Floor, Amsterdam, NY 12010 | 2012-05-25 |
| 1780944561 | St. Mary's Healthcare | Internal Medicine | 380 Guy Park Ave, Amsterdam, NY 12010 | 2012-05-25 |
| 1952661738 | St. Mary's Healthcare | Pediatrics | 4988 State Hwy 30, 1st Floor, Amsterdam, NY 12010 | 2012-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. MARY'S HEALTHCARE | 427 Guy Park Avenue, Amsterdam, New York 12010 |
| New York State Corporations | ST. MARY'S HEALTHCARE AUXILIARY INCORPORATED | 427 Guy Park Avenue, Amsterdam, New York 12010 |
| New York State Corporations | ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. | 29-01 216th Street, Bayside, New York 11360 |
| Street Address |
331 BRIDGE STREET |
| City | NORTHVILLE |
| State | NY |
| Zip Code | 12134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497996979 | Jill Gifford | Speech-Language Pathologist | 211 Fifth Street, Northville, NY 12134 | 2009-03-13 |
| 1437299237 | Samuel Dean Detweiler | Emergency Medicine | 331 Bridge St, St. Mary's Hospital, Northville Family Health Center, Northville, NY 12134 | 2007-02-08 |
| 1376624536 | George Ellis Dasher | Family Medicine | 331 Bridge St., St. Mary's Hospital, Northville Family Health Center, Northville, NY 12134 | 2006-10-17 |
| 1467486332 | Hanna A Halloran | Physical Therapist | 174 South Main Street, Northville, NY 12134 | 2006-07-10 |
| 1265957336 | Ashley Dumblewski | Pharmacist | 212 North Main Street, Po Box 449, Northville, NY 12134 | 2017-08-09 |
| 1639445679 | Wellness In Motion Physical Therapy Pllc | Physical Therapist | 174 South Main Street, Northville, NY 12134 | 2012-03-23 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1053466839 | Northville Central School District | Local Education Agency (LEA) | 131 South Third Street, Northville, NY 12134-0608 | 2007-01-24 |
| 1164531620 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 212 North Main Street, Northville, NY 12134-3550 | 2006-08-29 |
| 1356961502 | Arthur Edmund Johnsen Jr. | Pharmacist | 212 N Main St, Northville, NY 12134-3550 | 2020-04-17 |
| Find all providers in zip 12134 | ||||
| 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 |
|---|---|---|---|---|
| 1740447440 | William Pearse Mccallion | Family Medicine | 16420 Cypress Ct, Northville, MI 48168-4407 | 2008-05-20 |
| 1437345931 | Frederic Alan Fletcher | Family Medicine | 38238 Connaught Dr, Northville, MI 48167-9090 | 2007-09-18 |
| 1386853463 | Eileen Kuet | Family Medicine | 40000 8 Mile Rd, Northville, MI 48167-2134 | 2007-05-22 |
| 1275678948 | Vijay C Patel | Family Medicine | 48856 Stoneridge Dr, Northville, MI 48168-8594 | 2007-02-21 |
| 1174697684 | Gary Sarafa | Family Medicine | 21800 Haggerty Rd Ste 113, Northville, MI 48167-9051 | 2006-11-17 |
| 1376624536 | George Ellis Dasher | Family Medicine | 331 Bridge St., St. Mary's Hospital, Northville Family Health Center, Northville, NY 12134 | 2006-10-17 |
| 1992775969 | Regina Simone | Family Medicine | 42000 6 Mile Rd, Suite 201, Northville, MI 48168-4336 | 2006-01-24 |
| 1861462830 | Randall A. Bickle | Family Medicine | 42931 7 Mile Rd, Northville, MI 48167-2277 | 2006-01-24 |
| 1265859920 | Avalon Consultants Pllc | Family Medicine | 21800 Haggerty Rd Ste 113, Northville, MI 48167-9051 | 2014-03-19 |
| 1215203237 | Afaaq Hyder Siddiqui | Family Medicine | 40000 8 Mile Rd, Northville, MI 48167-2134 | 2012-03-23 |
| Find all providers in NORTHVILLE | ||||
| City | NORTHVILLE |
| Zip Code | 12134 |
Please comment or provide details below to improve the information on ST. MARY'S HEALTHCARE.
| 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.