GLENS FALLS MEDICAL PLLC (NPI# 1831607951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831607951 |
| Entity Type | Organization |
| Organization Name | GLENS FALLS MEDICAL PLLC |
| Practice Address |
100 Park St Glens Falls NY 12801-4413 |
| Practice Telephone | 5189266992 |
| Practice Fax Number | 5189266983 |
| Mailing Telephone | 5189266992 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | KEVIN GALLAGHER (SOLE MEMBER) |
| Authorized Official Telephone | 5189265299 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GLENS FALLS MEDICAL PLLC | 100 Park Street, Glens Falls, Ny 12801 |
| Street Address |
100 PARK ST |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035371 | Edward George Gyukeri Jr. | Specialist | 100 Park St, Glens Falls, NY 12801-4413 | 2005-07-05 |
| 1962009753 | Judith Mary Dalbey | Registered Nurse | 100 Park St, Glens Falls, NY 12801-4447 | 2020-10-05 |
| 1295342947 | Paige Elizabeth Howk | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2020-09-28 |
| 1437797586 | Wayne C Croyle | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2019-12-18 |
| 1386293074 | Shelby Faith Horn | Occupational Therapist | 100 Park St, Glens Falls, NY 12801-4447 | 2019-09-05 |
| 1457815011 | Jennifer Rowley Md Pllc | Internal Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2019-01-29 |
| 1710457866 | Kenneth Frank Dagles | Nurse Anesthetist, Certified Registered | 100 Park St, Glens Falls, NY 12801-4447 | 2018-12-03 |
| 1619454592 | Cecilia D Hayes | Nurse Practitioner | 100 Park St, Glens Falls, NY 12801-4447 | 2018-07-24 |
| 1043796816 | Melody K Long | Physician Assistant | 100 Park St, Glens Falls, NY 12801-4447 | 2018-07-16 |
| 1861978710 | Aaron B Heckler | Physician Assistant | 100 Park St, Glens Falls, NY 12801-4413 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477673713 | Michael Thomas Lieberth | Surgery | 14 Hudson Ave, Glens Falls, NY 12801-4448 | 2007-03-30 |
| 1932296597 | Steven Vincent Scalia | Surgery | 14 Hudson Avenue, Surgical Specialists of Glens Falls Hospital, Glens Falls, NY 12801 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
| 1679194468 | Sowmya Sreekanth | Surgery | 124 Hutchinson Blvd, Mount Vernon, NY 10552-2510 | 2020-05-03 |
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
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| City | GLENS FALLS |
| Zip Code | 12801 |
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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.