SAMARITAN HOSPITAL OF TROY, NEW YORK (NPI# 1962759944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962759944 |
| Entity Type | Organization |
| Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Other Organization Name | WATERFORD HEALTH CENTER |
| Practice Address |
158 Saratoga Ave Waterford NY 12188-2205 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5182331162 |
| Practice Fax Number | 5182330903 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4101002H | NY | Allopathic & Osteopathic Physicians |
| N | 282N00000X | General Acute Care Hospital | 4101002H | NY | Hospitals |
| N | 363A00000X | Physician Assistant | 4101002H | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 4101002H | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 4101002H | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Waterford Health Center | Doing Business As Name - Organization |
| Waterford Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1780168740 | Samaritan Hospital of Troy, New York | Family Medicine | 2 Empire Drive, Suite 100, Rensselaer, NY 12144-5730 | 2018-09-17 |
| 1770067738 | Samaritan Hospital of Troy, New York | Clinic/Center | 147 Hoosick St Ste E, Troy, NY 12180-2393 | 2018-09-17 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1912480971 | Samaritan Hospital of Troy, New York | Family Medicine | 1111 Hudson Avenue, Stillwater, NY 12170-3439 | 2018-09-14 |
| 1790120368 | Samaritan Hospital of Troy, New York | Nutritionist | 158 Saratoga Avenue, Waterford, NY 12188-2205 | 2013-05-08 |
| 1265086789 | Samaritan Hospital of Troy, New York | Family Medicine | 63 Shaker Road, Suite G02, Albany, NY 12204 | 2019-08-01 |
| 1457812877 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, St. Peter's Family Medicine, Clifton Park, NY 12065 | 2019-03-28 |
| 1134603194 | Samaritan Hospital of Troy, New York | Internal Medicine | 1401 Massachusetts Avenue, Troy, NY 12180-1621 | 2018-09-17 |
| 1124502182 | Samaritan Hospital of Troy, New York | Midwife | 2 Empire Drive, Suite 101, Rensselaer, NY 12144-5730 | 2018-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL OF TROY, NEW YORK | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Street Address |
158 SARATOGA AVE |
| City | WATERFORD |
| State | NY |
| Zip Code | 12188-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942382718 | Irina I Kaplan | Family Medicine | 158 Saratoga Ave, Waterford, NY 12188-2205 | 2006-10-20 |
| 1649314899 | James John Figge | Internal Medicine | 158 Saratoga Ave, Waterford, NY 12188-2205 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851700322 | Kelly Bly | Student in an Organized Health Care Education/Training Program | 41 Lower Newtown Rd, Waterford, NY 12188 | 2014-08-08 |
| 1841363009 | Amita N Nair | Internal Medicine | 158 Saratoga Ave., Waterford Health Center, Waterford, NY 12188 | 2006-11-16 |
| 1588738330 | Daniel Cheng | Pediatrics | 110 3rd St, Waterford, NY 12188 | 2006-11-20 |
| 1306935895 | Mohammed Ismail Md PC | Internal Medicine | 46 3rd St, Waterford, NY 12188 | 2006-10-12 |
| 1740260298 | Elise C. Richtol | Podiatrist | 3 Partridge Ln, Waterford, NY 12188-1091 | 2006-01-20 |
| 1033362579 | Rebecca Hyde Miles | Physical Therapist | 13 Copperfield Dr, Waterford, NY 12188-1093 | 2008-10-28 |
| 1457638264 | Denise Barbara Kochon | Licensed Practical Nurse | 123 Guideboard Rd Apt C, Waterford, NY 12188-1107 | 2011-11-08 |
| 1578568556 | Edward P Franks | Ophthalmology | 22a Church Hill Rd, Waterford, NY 12188-1124 | 2005-06-16 |
| 1720400732 | Leigh Anne Galioto | Speech-Language Pathologist | 4 Anchor Dr, Waterford, NY 12188-1149 | 2014-01-09 |
| 1952765471 | Alexandra Lynn Williams | Speech-Language Pathologist | 8 Lighthouse Dr, Waterford, NY 12188-1163 | 2016-04-11 |
| Find all providers in zip 12188 | ||||
| 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 |
|---|---|---|---|---|
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1417452996 | Kristin Randa | Family Medicine | 7010 N Tichigan Rd, Waterford, WI 53185-1760 | 2018-03-27 |
| 1588193221 | Kimberley Lynn Spencer-ion | Family Medicine | 2536 N Williams Lake Rd, Waterford, MI 48327-1054 | 2017-06-07 |
| 1760864508 | Sadeer Peter | Family Medicine | 279 Summit Dr Ste 107, Waterford, MI 48328-3364 | 2015-06-28 |
| 1720330392 | Gina Gora M D Pllc | Family Medicine | 3347 Wormer Dr, Waterford, MI 48329-2569 | 2012-10-08 |
| 1053647131 | Motown Residential Physician Pllc | Family Medicine | 852 Cedargate Ct, Waterford, MI 48328-2606 | 2009-10-26 |
| 1528290681 | Anne Bingham Pierson, M.d. | Family Medicine | 215 Parkway North, Sonalysts, Inc., Waterford, CT 06385 | 2009-08-21 |
| 1942467659 | Regional Health Services, Inc. | Family Medicine | 991 Route 19 N, Suite B, Waterford, PA 16441-9739 | 2008-05-20 |
| 1467579011 | Micalyn D Baney | Family Medicine | 218 E 3rd St, Waterford, PA 16441-9753 | 2007-03-26 |
| Find all providers in WATERFORD | ||||
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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.