PRIME CARE PHYSICIANS, P.L.L.C. (NPI# 1992925986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992925986 |
| Entity Type | Organization |
| Organization Name | PRIME CARE PHYSICIANS, P.L.L.C. |
| Other Organization Name | GLENS FALLS ASSOCIATES IN CARDIOLOGY |
| Practice Address |
156 Quaker Rd Queensbury NY 12804-1718 |
| Mailing Address |
4 Atrium Dr Suite 100 Albany NY 12205-1441 |
| Practice Telephone | 5187931083 |
| Practice Fax Number | 5187930953 |
| Mailing Telephone | 5184352704 |
| Mailing Fax Number | 5184582610 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | MR. MICHAEL WHALEN (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 5184352704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 54964 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
54964 | NY | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
54964 | NY | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
54964 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
54964 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
54964 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02616571 | 05 |
| Other Name | Type Code |
|---|---|
| Glens Falls Associates in Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538360557 | Prime Care Physicians, P.l.l.c. | Internal Medicine | Margaretville Community Hospital, Rte. 28, Margaretville, NY 12455 | 2007-05-29 |
| 1962622977 | Prime Care Physicians, P.l.l.c. | Nurse Practitioner | 3 Normanskill Dr, Albany, NY 12209-1014 | 2007-05-01 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1285627075 | Prime Care Physicians, P.l.l.c. | Family Medicine | 4 Atrium Dr, Suite 100, Albany, NY 12205-1441 | 2005-08-26 |
| 1982878575 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 29 Jones Ave, Chatham Medical Building, Chatham, NY 12037-1136 | 2008-04-15 |
| 1083834097 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 4 Palisades Dr, Suite 100, Albany, NY 12205-1443 | 2007-05-01 |
| 1891915807 | Prime Care Physicians, P.l.l.c. | Nurse Practitioner | 4 Palisades Dr, Suite 250, Albany, NY 12205-1443 | 2007-05-01 |
| 1639399645 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 1444 Western Ave, Suite A, Albany, NY 12203-3440 | 2007-05-01 |
| 1548480551 | Prime Care Physicians, P.l.l.c. | Family Medicine | 1444 Western Ave, Suite B-2, Albany, NY 12203-3440 | 2007-05-01 |
| 1457571465 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 2 New Hampshire Ave, Suite 200, Troy, NY 12180-1762 | 2007-05-01 |
| Street Address |
156 QUAKER RD |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922122498 | Jungwon Shin | Dentist | 156 Quaker Rd, Queensbury, NY 12804-1718 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678120 | David W Schwenker | Internal Medicine | 6 St Andrews Dr, Queensbury, NY 12804-1356 | 2005-06-13 |
| 1477556181 | Patrick Rowley | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-05-27 |
| 1760730030 | Glens Falls Hospital Inc | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2012-08-17 |
| 1194744318 | Henry T Tan | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804-5925 | 2006-07-19 |
| 1699793539 | Iqbal Bashir | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2006-07-18 |
| 1518958610 | Atilla Kayalar | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804-5925 | 2005-10-30 |
| 1558353953 | Adirondack Cardiology Associates PC | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804 | 2005-08-22 |
| 1982606984 | Gregory A. Kelly | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-08-10 |
| 1194728774 | Michael A Layden | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-05-27 |
| 1912900622 | Scott Munro | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-05-27 |
| Find all providers in QUEENSBURY | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on PRIME CARE PHYSICIANS, P.L.L.C..
| 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.