ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1821535592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821535592 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Practice Address |
713 Troy Schenectady Rd Ste 304 St. Peter's Ob/gyn At Latham Latham NY 12110-2490 |
| Mailing Address |
Po Box 14890 St. Peter's Payer Credentialing Albany NY 12212-4890 |
| Practice Telephone | 5187866270 |
| Practice Fax Number | 5187866276 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | JANICE MACKE (CFO) |
| Authorized Official Telephone | 5185256931 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629512876 | St. Peter's Health Partners Medical Associates, PC | Nurse Practitioner | 582 New Loudon Road, Latham, NY 12110-5707 | 2016-12-07 |
| 1265983530 | St. Peter's Health Partners Medical Associates, PC | General Practice | 2 New Hampshire Avenue, Capital Region Diabetes & Endocrine Care, Troy, NY 12180-1764 | 2016-10-20 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1255871828 | St. Peter's Health Partners Medical Associates, PC | Nutritionist | 279 Troy Road, Family Medical Group, Rensselaer, NY 12144-9518 | 2017-03-02 |
| 1376092692 | St. Peter's Health Partners Medical Associates, PC | Surgery | 2 New Hampshire Ave, St. Peter's Bariatric Care, Troy, NY 12180-1764 | 2016-09-28 |
| 1083168603 | St. Peter's Health Partners Medical Associates, PC | Emergency Medicine | 400 Patroon Creek Blvd, Suite 100, Albany, NY 12206-5013 | 2016-08-11 |
| 1093160822 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2016-04-29 |
| 1457706731 | St. Peter's Health Partners Medical Associates, PC | Psychiatry & Neurology | 63 Shaker Road, Suite G01, Albany, NY 12204-1030 | 2016-04-25 |
| 1720441215 | St. Peter's Health Partners Medical Associates, PC | Internal Medicine | 55 Mohawk St, Suite 105, Cohoes, NY 12047-2629 | 2016-04-01 |
| 1083031983 | St. Peter's Health Partners Medical Associates, PC | Nurse Practitioner | 4 Palisades Dr, Suite 200a, Albany, NY 12205-1443 | 2014-03-28 |
| Street Address |
713 TROY SCHENECTADY RD STE 304 ST. PETER'S OB/GYN AT LATHAM |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396959110 | W Bruce Clark Md PC | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5701 | 2007-05-10 |
| 1659494094 | Community Care Physicians, PC | Obstetrics & Gynecology | 713 Troy Schenectady Rd Ste 215, Latham, NY 12110-2490 | 2007-04-09 |
| 1518030873 | Philip Carlisle Clements | Obstetrics & Gynecology | 585 New London Rd, Latham, NY 12110-5701 | 2006-11-16 |
| 1235202599 | William Bruce Clark | Obstetrics & Gynecology | 585 Lew Loudon Road, Latham, NY 12110-5701 | 2006-11-16 |
| 1538232897 | Humera Sabahath Syeda | Obstetrics & Gynecology | 585 New London Road, Latham, NY 12110-5701 | 2006-11-16 |
| 1437177334 | Elina Burstyn | Obstetrics & Gynecology | 711 Troy Schenectady Rd Ste 205, Latham, NY 12110-2461 | 2006-07-18 |
| 1851351902 | Marco Antonio Arrascue | Obstetrics & Gynecology | 1202 Troy Schenectady Rd, Building 2, Latham, NY 12110-1095 | 2006-03-24 |
| 1740289461 | Usha H Bakhru | Obstetrics & Gynecology | 713 Troy Schenectady Rd, Latham, NY 12110-2490 | 2005-07-14 |
| 1326695917 | Betsy Varghese Rajan | Obstetrics & Gynecology | 585 New Loudon Rd, Latham, NY 12110-5773 | 2019-08-20 |
| 1114449030 | Kimberly Domalewicz | Obstetrics & Gynecology | 585 New Loudon Road, Latham, NY 12110 | 2017-07-12 |
| Find all providers in LATHAM | ||||
Please comment or provide details below to improve the information on ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC.
| 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.