Daniel K Spangenberg (NPI# 1952538464, PAC ID# 2567612658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952538464 |
| PAC ID by PECOS | 2567612658 |
| Professional Enrollment ID | I20121026000034 |
| Full Name | Daniel K Spangenberg |
| Organization Legal Name | PORT CITY EMERGENCY PHYSICIANS LLP |
| Address |
150 Broad St Hamilton NY 13346-9575 |
| Phone Number | 3158241100 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345301917 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 Broad St, Hamilton, NY 13346-9575 | 3158241100 | PORT CITY EMERGENCY PHYSICIANS LLP |
| Organization Legal Name | PORT CITY EMERGENCY PHYSICIANS LLP |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bethany A Hawke | Emergency Medicine | Port City Emergency Physicians LLP | 510 S 4th St, Fulton, NY 13069-2904 |
| Jennifer Drake | Nurse Practitioner | Port City Emergency Physicians LLP | 3045 E Ave, Central Square, NY 13036-9502 |
| Rebecca L Dottolo | Nurse Practitioner | Port City Emergency Physicians LLP | 510 S 4th St, Fulton, NY 13069-2904 |
| Richard H Koehler | Emergency Medicine | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Colin Coniski | Physician Assistant | Port City Emergency Physicians LLP | 510 S 4th St, Fulton, NY 13069-2904 |
| Megan R Coghlan | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Nathaniel Michael Farden | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Casey N Moore | Emergency Medicine | Port City Emergency Physicians LLP | 510 S 4th St, Fulton, NY 13069-2904 |
| Dastagir Alam Khan | Internal Medicine | Port City Emergency Physicians LLP | 510 S 4th St, Fulton, NY 13069-2904 |
| Anton Chertkovsky | Physician Assistant | Port City Emergency Physicians LLP | 510 S 4th St, Fulton, NY 13069-2904 |
| Street Address |
150 BROAD ST |
| City | HAMILTON |
| State | NY |
| Zip | 13346-9575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April M Lamunion | Nurse Practitioner | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Sunny N Thompson Nelson | Family Medicine | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Kerri A Taylor | Family Medicine | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Lynette Champagne | Nurse Practitioner | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Katie Jordan | Physician Assistant | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Daniel G Herbowy | Podiatry | 150 Broad St, Hamilton, NY 13346-9575 | |
| Travis J Hall | Psychologist, Clinical | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Norma L Cooney | Emergency Medicine | Crouse Health Hospital Inc | 150 Broad St, Hamilton, NY 13346-9575 |
| Raymond Carlson | Internal Medicine | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Melanie R Angell | Physician Assistant | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James I Wallace | Psychologist, Clinical | 40 Milford St, Hamilton, NY 13346-1009 | |
| Dawn E Lafrance | Psychologist, Clinical | 40 Milford St, Hamilton, NY 13346-1009 | |
| Marjorie H Cohen | Qualified Audiologist | 54 B Utica St, Hamilton, NY 13346-1108 | |
| Richard S Cohen | Family Practice | 52 Utica St, Hamilton, NY 13346-1108 | |
| Charles P Stefan | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Brian J Berry | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Rudolph A Buckley | Orthopedic Surgery | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Kristin W Collins | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Russell M Lafrance | Orthopedic Surgery | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Melissa Cullinan | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Find all physicians in zip 13346 | |||
| City | HAMILTON |
| Zip Code | 13346 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HAMILTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel K Spangenberg.
| 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.