ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC (NPI# 1831586809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831586809 |
| Entity Type | Organization |
| Organization Name | ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC |
| Other Organization Name | SPHPMA RADIOLOGY DIVISION |
| Practice Address |
713 Troy Schenectady Rd Suite 304 Latham NY 12110-2490 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5183734448 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SPHPMA Radiology Division | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328966 | St. Peters Health Partners Medical Associates PC | Emergency Medicine | 11 Hempstead Place, Suite 103, Saratoga Springs, NY 12866 | 2013-11-27 |
| 1639504699 | St. Peters Health Partners Medical Associates PC | Internal Medicine | 433 River Street Suite 3000, Troy, NY 12180 | 2013-09-10 |
| 1770970675 | St. Peters Health Partners Medical Associates PC | Physician Assistant | 2 Empire Dr, East Greenbush Ultrasound, Rensselaer, NY 12144-5730 | 2015-04-20 |
| 1750778726 | St. Peters Health Partners Medical Associates PC | Radiology | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2015-04-17 |
| 1205223294 | St. Peters Health Partners Medical Associates PC | Radiology | 147 Hoosick Street, Troy, NY 12180-2353 | 2015-04-17 |
| 1245628361 | St. Peters Health Partners Medical Associates PC | Surgery | 319 S Manning Blvd, Suite 304, Albany, NY 12208-1742 | 2014-12-23 |
| 1417362963 | St. Peters Health Partners Medical Associates PC | Family Medicine | 854 Route 212, Saugerties, NY 12477-4619 | 2014-06-24 |
| 1154744753 | St. Peters Health Partners Medical Associates PC | Psychiatry & Neurology | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-02-03 |
| 1174954606 | St. Peters Health Partners Medical Associates PC | Nurse Practitioner | 319 South Manning Blvd, Suite C364, Albany, NY 12208-1742 | 2013-12-10 |
| 1104257252 | St. Peters Health Partners Medical Associates PC | Family Medicine | 10 Gagnon Dr, Stone Ridge, NY 12484-5120 | 2013-11-27 |
| Street Address |
713 TROY SCHENECTADY RD SUITE 304 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289461 | Usha H Bakhru | Obstetrics & Gynecology | 713 Troy Schenectady Rd, Latham, NY 12110-2490 | 2005-07-14 |
| 1427583483 | Community Care Physicians, PC | Surgery | 713 Troy Schenectady Rd, Suite 125, Latham, NY 12110-2490 | 2017-04-27 |
| 1679011381 | Community Care Physicians | Family Medicine | 713 Troy Schenectady Rd, Suite 126, Latham, NY 12110-2490 | 2017-02-02 |
| 1811447493 | Seton Health System | Obstetrics & Gynecology | 713 Troy Schenectady Rd, Suite 304, Latham, NY 12110-2490 | 2016-10-07 |
| 1598127441 | Rachel Gelfman | Physician Assistant | 713 Troy Schenectady Rd, Suite 224, Latham, NY 12110-2490 | 2016-03-21 |
| 1548631898 | Lauren L Livolsi | Physician Assistant | 713 Troy Schenectady Rd, Suite 224, Latham, NY 12110-2490 | 2015-10-13 |
| 1821481680 | Shulamit K. Shechter | Dietitian, Registered | 713 Troy Schenectady Rd, Suite 215, Latham, NY 12110-2490 | 2015-03-17 |
| 1013315589 | Cynthia A. Stone | Counselor | 713 Troy Schenectady Rd, Suite 224, Latham, NY 12110-2490 | 2014-12-15 |
| 1083030506 | Community Care Physicians, PC | Surgery | 713 Troy Schenectady Rd, Suite 305, Latham, NY 12110-2490 | 2014-03-07 |
| 1467791947 | Kurt Relation | Podiatrist | 713 Troy Schenectady Rd, Suite 222, Latham, NY 12110-2490 | 2013-02-04 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255623666 | Meghan Sahr | Radiology | 711 Troy Schenectady Rd Ste 114, Latham, NY 12110-2454 | 2011-05-04 |
| 1144300104 | Mitchel Campito | Radiology | Crhp-711 Troy-schenectady Road, Suite 114, Latham, NY 12110 | 2006-10-16 |
| 1235187832 | Comprehensive Mri of New York, P.C. | Radiology | 4 Johnson Rd, Latham, NY 12110-5641 | 2006-05-05 |
| 1629069679 | Tariq Gill | Radiology | 711 Troy-schenectady Road, Latham, NY 12110 | 2005-10-31 |
| 1598025595 | Jessica Lauren Fournier | Radiology | 711 Troy Schenectady Rd Ste 114, Latham, NY 12110 | 2012-05-23 |
| 1538431226 | Community Care Physicians, PC | Radiology | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2012-01-27 |
| 1073742011 | Samit N Shah | Radiology | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2009-07-13 |
| 1487895579 | Catherine L Wells | Radiology | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2009-03-18 |
| 1477702322 | Paul Francis Hegener | Radiology | 711 Troy Schenectady Rd, Suite 201, Latham, NY 12110-2442 | 2008-09-16 |
| 1720235039 | Schenectady Radiologists | Radiology | 1182 Troy Schenectady Road, Latham, NY 12110 | 2008-08-19 |
| Find all providers in LATHAM | ||||
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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.