DR. PATRICK J CARGUELLO (NPI# 1821082009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082009 |
| Entity Type | Individual |
| Full Name | DR. PATRICK J CARGUELLO |
| Credential | D.O. |
| Practice Address |
61 Delano St Pulaski NY 13142-1400 |
| Practice Telephone | 3152986569 |
| Practice Fax Number | 3152987488 |
| Mailing Telephone | 3152986569 |
| Mailing Fax Number | 3152987488 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2009-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 216292 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00307662 | 05 | |
| NY | 00216292 | 05 | |
| FQHC NUMBER | 331880 | 01 |
| Street Address |
61 DELANO ST |
| City | PULASKI |
| State | NY |
| Zip Code | 13142-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527376 | Celeste I Carnes | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-02 |
| 1023618121 | Caitlin Taylor Corrice | Physical Therapist | 61 Delano St, Pulaski, NY 13142-1400 | 2020-10-28 |
| 1780295139 | Chelsea Jean Louise Claflin | Student in an Organized Health Care Education/Training Program | 61 Delano St, Pulaski, NY 13142-1400 | 2020-08-10 |
| 1245840131 | Megan Hollister | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-08-05 |
| 1932724366 | Todd C Bryant | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-06-11 |
| 1538797154 | Rachael Stahl | Social Worker | 61 Delano St, Pulaski, NY 13142-1400 | 2020-03-30 |
| 1811538192 | Anson Dann | Physical Therapist | 61 Delano St, Pulaski, NY 13142-1400 | 2019-10-08 |
| 1568012920 | Wenling Riehle | Social Worker | 61 Delano St, Pulaski, NY 13142-1400 | 2019-09-18 |
| 1568025120 | Julie A Dewey | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2019-04-19 |
| 1477031342 | Mary E Shaben | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2018-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740461904 | William C. Buck | Pharmacist | 4767 Salina Street, Pulaski, NY 13142 | 2007-11-16 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1427189638 | Jay F Sullivan Md PC | Family Medicine | 4882b North Jefferson St, Pulaski, NY 13142 | 2007-03-08 |
| 1932239605 | Angela L Christmas-mattison | Social Worker | 4 Hubble Street, Pulaski, NY 13142 | 2007-03-06 |
| 1912072869 | Jeffery D Ford | Chiropractor | 1 James St, Pulaski, NY 13142 | 2006-11-22 |
| 1518078716 | Smile Factory Inc | Dentist | 20 Bridge Street, Pulaski, NY 13142 | 2006-08-31 |
| 1861426413 | Jay Frederick Sullivan | Family Medicine | 4882b North Jefferson Street, Pulaski, NY 13142 | 2006-07-10 |
| 1710469416 | Megan Lee Phillips | Pharmacist | 3873 Rome Rd, Pulaski, NY 13142 | 2018-08-30 |
| 1689058489 | Podiatry Services of Central New York, PC | Podiatrist | 61 Delano Street, Pulaski, NY 13142 | 2015-07-13 |
| 1811266885 | Claudia Hurne | Registered Nurse | 124 Salisbury Street, Sandy Creek, NY 13142-0248 | 2011-12-21 |
| Find all providers in zip 13142 | ||||
| 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 |
|---|---|---|---|---|
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1215165311 | Sara Beth Bush | Family Medicine | 1255 E College St Ste 100, Pulaski, TN 38478-4553 | 2009-06-26 |
| 1427189638 | Jay F Sullivan Md PC | Family Medicine | 4882b North Jefferson St, Pulaski, NY 13142 | 2007-03-08 |
| 1114071057 | Stephen R Savage | Family Medicine | 1119 East College Street, Suite 3, Pulaski, TN 38478 | 2007-01-22 |
| 1861426413 | Jay Frederick Sullivan | Family Medicine | 4882b North Jefferson Street, Pulaski, NY 13142 | 2006-07-10 |
| 1255394557 | Matthew S. Kaatz | Family Medicine | 101 1st St Nw, Pulaski, VA 24301-5603 | 2006-04-08 |
| 1609838390 | Bellin Memorial Hospital Inc | Family Medicine | 331 W Green Bay St, Pulaski, WI 54162-9297 | 2006-04-06 |
| 1720069933 | Charles William Burger | Family Medicine | 215 S Cedar Ln, Pulaski, TN 38478-3502 | 2005-11-07 |
| 1568829356 | Pulaski Medical Urgent Care, P.c | Family Medicine | 3858 State Route 13, Pulaski, NY 13142-2400 | 2016-01-25 |
| 1457690422 | Amg Hillside LLC | Family Medicine | 1119 E College St, Suite 3, Pulaski, TN 38478-4563 | 2013-02-11 |
| Find all providers in PULASKI | ||||
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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.