DR. TRACEY LYNN BRENNAN (NPI# 1891792503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891792503 |
| Entity Type | Individual |
| Full Name | DR. TRACEY LYNN BRENNAN |
| Credential | M.D> |
| Practice Address |
294 Grand Ave Saratoga Springs NY 12866-5944 |
| Practice Telephone | 5185830000 |
| Practice Fax Number | 5185836005 |
| Mailing Telephone | 5185830000 |
| Mailing Fax Number | 5185836005 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 197114 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP | 382088 | 01 |
| NY | SHARED HEALTH NETWORK | 197114 | 01 |
| NY | GHI | 5996122 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831314830 | Tracey Lynn Brennan | Dentist | 708 Warwick Ave, Warwick, RI 02888-2670 | 2007-04-16 |
| Street Address |
294 GRAND AVE |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866-5944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528283132 | Tracey L. Brennan, M.d., Pllc | Family Medicine | 294 Grand Ave, Saratoga Springs, NY 12866-5944 | 2007-04-17 |
| 1144315367 | Sanjay Taneja | Family Medicine | 294 Grand Ave, Saratoga Springs, NY 12866-5944 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
| 1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
| 1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
| 1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
| 1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
| 1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
| 1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
| Find all providers in zip 12866 | ||||
| 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 |
|---|---|---|---|---|
| 1821300401 | Prajesh Mani Ghimire | Family Medicine | 2 Tommy Luther Dr, Saratoga Springs, NY 12866-6054 | 2010-07-12 |
| 1790948669 | Miles Layton | Family Medicine | 76 E Commerce Dr Ste 204, Saratoga Springs, UT 84045-4024 | 2008-07-09 |
| 1598982548 | St. Peter's Hospital of The City of Albany | Family Medicine | 125 High Rock Ave, Saratoga Springs, NY 12866-2307 | 2007-04-19 |
| 1811077886 | James Joseph Murray | Family Medicine | 8 Circular St., James J. Murray M.d., Saratoga Springs, NY 12886 | 2006-10-16 |
| 1083722110 | Saratoga Family Practice PC | Family Medicine | 15 Maple Dell Ste 1, Saratoga Springs, NY 12866-2951 | 2006-08-28 |
| 1295761435 | Renee Rodriguez-goodemote | Family Medicine | 24 Hamilton St, Saratoga Springs, NY 12866-4226 | 2006-06-22 |
| 1003859331 | Jama Lorynn Peacock Birsett | Family Medicine | 68 West Ave Ste 3, Saratoga Springs, NY 12866-6044 | 2006-06-14 |
| 1457306276 | Saratoga Family Physicians | Family Medicine | 3040 Route 50, Saratoga Springs, NY 12866-2906 | 2006-05-23 |
| 1073572228 | Miguel A Villalobos | Family Medicine | 354 W State Road 73, Saratoga Springs, UT 84045-2901 | 2006-03-17 |
| 1801863568 | Terry Kelly | Family Medicine | 56 Duplainville Rd, Saratoga Springs, NY 12866-9020 | 2006-03-02 |
| Find all providers in SARATOGA SPRINGS | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
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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.