GREENFIELD COUNTRY MEDICINE (NPI# 1962445205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962445205 |
| Entity Type | Organization |
| Organization Name | GREENFIELD COUNTRY MEDICINE |
| Practice Address |
3100 Route 9n Greenfield Center NY 12833-1711 |
| Mailing Address |
3100 Route 9n P.o.box 159 Greenfield Center NY 12833-1711 |
| Practice Telephone | 5182680615 |
| Practice Fax Number | 5183481279 |
| Mailing Telephone | 5182680615 |
| Mailing Fax Number | 5183481279 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMA LORYNN PEACOCK BIRSETT (M.D./OWNER) |
| Authorized Official Telephone | 5182580615 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 239931 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 239931 | 01 |
| NY | DEA | BP9770303 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GREENFIELD COUNTRY MEDICINE, PLLC | Box 159, Greenfield Ctr, Ny 12833 |
| Street Address |
3100 ROUTE 9N |
| City | GREENFIELD CENTER |
| State | NY |
| Zip Code | 12833-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689227027 | Aili Anais Lopez | Counselor | 110 Wing Rd, Greenfield Center, NY 12833 | 2019-07-23 |
| 1528485943 | Town of Greenfield | Ambulance | 7 Wilton Greenfield Rd, Greenfield Center, NY 12833 | 2014-03-24 |
| 1639649726 | Brooke Chandler | Registered Nurse | 490 Sandhill Rd, Greenfield Center, NY 12833-1122 | 2018-11-30 |
| 1538319595 | James Joseph Colamaria Jr. | Nurse Practitioner | 38 Hemlock Dr, Greenfield Center, NY 12833-1212 | 2008-09-26 |
| 1710131404 | Karin J Fine | Contractor | 28 Southwest Pass, Greenfield Center, NY 12833-1215 | 2008-11-08 |
| 1558654434 | Eileen Lindemann | Dietitian, Registered | 105 S Greenfield Rd, Greenfield Center, NY 12833-1314 | 2011-05-25 |
| 1376711150 | Fred A Phillips | Internal Medicine | 64 Hickock Rd, Greenfield Center, NY 12833-1402 | 2008-02-14 |
| 1114321148 | Pamela Valentine | Registered Nurse | 7 Frasier Rd, Greenfield Center, NY 12833-1708 | 2014-10-20 |
| 1538430459 | Erin Esler | Speech-Language Pathologist | 3180 Route 9n, Greenfield Center, NY 12833-1711 | 2012-01-24 |
| 1548443245 | Holly R Shishik | Pharmacist | 6 Westminster Dr N, Greenfield Center, NY 12833-1839 | 2007-12-17 |
| Find all providers in zip 12833 | ||||
| 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 |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD CENTER |
| Zip Code | 12833 |
Please comment or provide details below to improve the information on GREENFIELD COUNTRY MEDICINE.
| 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.