ST. MARY'S HEALTHCARE (NPI# 1780944561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780944561 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S HEALTHCARE |
| Practice Address |
380 Guy Park Ave Amsterdam NY 12010 |
| Practice Telephone | 5188417415 |
| Practice Fax Number | 5188417417 |
| 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 | 207R00000X | Internal Medicine | 137258 | 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 |
| 1780944553 | St. Mary's Healthcare | Family Medicine | 331 Bridge Street, Northville, NY 12134 | 2012-05-25 |
| 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 |
| 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 |
380 GUY PARK AVE |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754972 | Michael J. Hardies | Internal Medicine | 380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr At Carondelet Pavili, Amsterdam, NY 12010 | 2005-07-18 |
| 1942728498 | Diane Gagliardi | Nurse Practitioner | 380 Guy Park Ave, Amsterdam, NY 12010-1065 | 2017-09-05 |
| 1518144617 | Erika Britt Wachtmeister | Internal Medicine | 380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr @ Carondelet Pavilio, Amsterdam, NY 12010 | 2008-01-30 |
| 1174631808 | Michael Angelo Rochet | Family Medicine | 380 Guy Park Ave, Amsterdam, NY 12010-1065 | 2006-08-25 |
| 1326091257 | Barbara L Riede | Nurse Practitioner | 380 Guy Park Ave, St. Mary's Healthcare, Amsterdam, NY 12010-1055 | 2006-05-19 |
| 1578562054 | Hong T-l Raphael | Family Medicine | 380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr @ Carondelet Pavilio, Amsterdam, NY 12010-1055 | 2005-07-18 |
| 1659370146 | Juanito T So | Internal Medicine | 380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr At Carondelet Pavili, Amsterdam, NY 12010 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| Find all providers in zip 12010 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396761474 | Hafeez Ur Rehman | Internal Medicine | 2510 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2006-07-14 |
| 1063476398 | Soo Gil Lee | Internal Medicine | 5010 St Hwy 30, Ste 201, Amsterdam, NY 12010 | 2006-04-13 |
| 1760469654 | Luz E Peguero | Internal Medicine | 67 Division St, Amsterdam, NY 12010-4099 | 2005-12-30 |
| 1316930605 | Cleve R Dawson Sr. | Internal Medicine | 533 Harvard Ct, Amsterdam, NY 12010-1402 | 2005-08-23 |
| 1497754972 | Michael J. Hardies | Internal Medicine | 380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr At Carondelet Pavili, Amsterdam, NY 12010 | 2005-07-18 |
| 1609875327 | Crisanto M. Torres | Internal Medicine | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1043 | 2005-07-14 |
| 1538166095 | Ramon Bidot | Internal Medicine | 5010 State Highway 30, Suite G-02, Amsterdam, NY 12010-7532 | 2005-06-30 |
| 1932342771 | Johnathan Hao Sun | Internal Medicine | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2009-04-09 |
| 1801050117 | Clara Shnaidman | Internal Medicine | 4104 State Highway 30, Amsterdam, NY 12010-6202 | 2008-07-16 |
| 1518144617 | Erika Britt Wachtmeister | Internal Medicine | 380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr @ Carondelet Pavilio, Amsterdam, NY 12010 | 2008-01-30 |
| Find all providers in AMSTERDAM | ||||
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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.