James Brian Smith (NPI# 1174706105, PAC ID# 2466639570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1174706105 |
| PAC ID by PECOS | 2466639570 |
| Professional Enrollment ID | I20110526000491 |
| Full Name | James Brian Smith |
| Organization Legal Name | CONIFER PARK INC |
| Address |
79 Glenridge Rd Scotia NY 12302-4523 |
| Phone Number | 5189522000 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769470384 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 556 Clinton Ave S, Rochester, NY 14620-1105 | 5854428422 | CONIFER PARK INC |
| 79 Glenridge Rd, Scotia, NY 12302-4523 | 5189522000 | CONIFER PARK INC |
| Organization Legal Name | CONIFER PARK INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Briana Link | Clinical Social Worker | Conifer Park Inc | 600 Franklin St, Schenectady, NY 12305-2100 |
| David L Tymchyn | Clinical Social Worker | Conifer Park Inc | 2435 6th Ave, Troy, NY 12180-2227 |
| Michael W Slome | Psychiatry | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Jean A Miles | Physician Assistant | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Christopher J Davis | General Practice | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Kathleen Anne Whaley | Addiction Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Mark Dimartino | Clinical Social Worker | Conifer Park Inc | 2435 6th Ave, Troy, NY 12180-2227 |
| Elias Christidis | Internal Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Street Address |
79 GLENRIDGE RD |
| City | SCOTIA |
| State | NY |
| Zip | 12302-4523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean A Miles | Physician Assistant | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Kathleen Anne Whaley | Addiction Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Elias Christidis | Internal Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Irene T Sack | Clinical Social Worker | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Muralidhar Reddy | Internal Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Slome | Psychiatry | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Christopher J Davis | General Practice | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Mohammad H Kabir | Internal Medicine | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Ahmad A Sultan | Physical Medicine and Rehabilitation | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| Sharon L Lyng | Nurse Practitioner | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| David J Cerniglia | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| Amanda J Hodder | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| David T Civale | Chiropractic | 1 Swaggertown Rd, Scotia, NY 12302-3249 | |
| Diane E Bonesteel | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Lisa H Sawtelle | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Find all physicians in zip 12302 | |||
| City | SCOTIA |
| Zip Code | 12302 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SCOTIA + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.