Samantha Yvonne Harris (NPI# 1881912418, PAC ID# 6800026451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1881912418 |
| PAC ID by PECOS | 6800026451 |
| Professional Enrollment ID | I20180119001870 |
| Full Name | Samantha Yvonne Harris |
| Organization Legal Name | HUDSON HEADWATERS HEALTH NETWORK |
| Address |
828 State Route 11 Champlain NY 12919-4966 |
| Phone Number | 5182982691 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7416861208 |
| Number of Group Practice Members | 130 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 828 State Route 11, Champlain, NY 12919-4966 | 5182982691 | HUDSON HEADWATERS HEALTH NETWORK |
| Organization Legal Name | HUDSON HEADWATERS HEALTH NETWORK |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Esterson | Family Medicine | Hudson Headwaters Health Network | 828 State Route 11, Champlain, NY 12919-4966 |
| Ashley Claire Eleanor Bernotas | Family Medicine | Hudson Headwaters Health Network | 87 Plaza Blvd, Plattsburgh, NY 12901-6438 |
| Cassie Elaine Leonard | Obstetrics/gynecology | Hudson Headwaters Health Network | 90 S St, Glens Falls, NY 12801-4353 |
| Sarah M Thompson | Family Medicine | Hudson Headwaters Health Network | 6223 State Route 9, Chestertown, NY 12817-2823 |
| Kristine Blais Alix | Nurse Practitioner | Hudson Headwaters Health Network | 11 Cross St, Bolton Landing, NY 12814-7711 |
| Rita L All | Nurse Practitioner | Hudson Headwaters Health Network | 100 Broad St, Glens Falls, NY 12801-4349 |
| Maurice A Racine | Family Medicine | Hudson Headwaters Health Network | 24 Fairfield Ave, Schroon Lake, NY 12870-0292 |
| Christopher H Jackson | Physician Assistant | Hudson Headwaters Health Network | 126 Ski Bowl Rd, North Creek, NY 12853-2607 |
| Howard E Silverberg | Internal Medicine | Hudson Headwaters Health Network | 48 E St, Fort Edward, NY 12828-1811 |
| Harriet Busch | Family Practice | Hudson Headwaters Health Network | 14 Manor Dr, Queensbury, NY 12804-1906 |
| Street Address |
828 STATE ROUTE 11 |
| City | CHAMPLAIN |
| State | NY |
| Zip | 12919-4966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Esterson | Family Medicine | Hudson Headwaters Health Network | 828 State Route 11, Champlain, NY 12919-4966 |
| Dawn Marie Ashline | Nurse Practitioner | Hudson Headwaters Health Network | 828 State Route 11, Champlain, NY 12919-4966 |
| Pamela J Cook | Family Medicine | Hudson Headwaters Health Network | 828 State Route 11, Champlain, NY 12919-4966 |
| Nicole A Baker | Nurse Practitioner | Hudson Headwaters Health Network | 828 State Route 11, Champlain, NY 12919-4966 |
| Nicole B Cerklewich | Family Medicine | Hudson Headwaters Health Network | 828 State Route 11, Champlain, NY 12919-4966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothea B Southwick | Physical Therapy | 34 Beeman Way, Champlain, NY 12919-4965 | |
| Sarah Valk | Clinical Social Worker | 100 Walnut St, Suite 6, Champlain, NY 12919-5337 |
| City | CHAMPLAIN |
| Zip Code | 12919 |
| Specialty | PODIATRY |
| City + Specialty | CHAMPLAIN + PODIATRY |
Please comment or provide details below to improve the information on Samantha Yvonne Harris.
| 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.