NORTH COUNTRY SPORTS MEDICINE PLLC (NPI# 1013271550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013271550 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY SPORTS MEDICINE PLLC |
| Practice Address |
1019 Wicker St Moses Ludington Hospital Ticonderoga NY 12883-1039 |
| Mailing Address |
25 Willowbrook Rd Suite 2 Queensbury NY 12804-5882 |
| Practice Telephone | 5187939156 |
| Practice Fax Number | 5187936591 |
| Mailing Telephone | 5187939156 |
| Mailing Fax Number | 5187936591 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | LORI M BALDWIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5187939156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 202796 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417211962 | North Country Sports Medicine Pllc | Orthopaedic Surgery | 79 North St, Granville, NY 12832-1137 | 2012-06-29 |
| 1144302217 | North Country Sports Medicine Pllc | Orthopaedic Surgery | 25 Willowbrook Road, Suite 2, Queensbury, NY 12804 | 2006-10-19 |
| Street Address |
1019 WICKER ST MOSES LUDINGTON HOSPITAL |
| City | TICONDEROGA |
| State | NY |
| Zip Code | 12883-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889746 | Moses Ludington Nursing Home Company, Inc | Skilled Nursing Facility | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2005-08-25 |
| 1457869224 | Ticonderoga Dental Plaza, PC | Dentist | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2018-01-16 |
| 1871035485 | 1019 Wicker Street Operating Company, LLC | Skilled Nursing Facility | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2016-11-14 |
| 1174905004 | Francine Brett Bassett | Nurse Practitioner | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2015-06-27 |
| 1972907749 | Hudson Headwaters Health Network | Family Medicine | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2014-10-22 |
| 1831592880 | Heather Winters | Physical Therapy Assistant | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2014-10-06 |
| 1710225313 | Sarah Jane Lapointe | Occupational Therapist | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2013-01-17 |
| 1699056291 | Hudson Headwaters Health Network | Clinic/Center | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2011-09-09 |
| 1205124500 | Katherine K Shmulsky | Pharmacist | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2011-07-20 |
| 1780845164 | Prashant Malhotra | Physical Therapist | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528582822 | Walgreen Co | Pharmacy | 1161 Nys Route 9n, Ticonderoga, NY 12883 | 2017-07-28 |
| 1891233540 | Anne Kuhl | Specialist | 70 Lake George Ave, Ticonderoga, NY 12883 | 2017-02-02 |
| 1336697580 | Hayley Jean Woods | Pharmacist | 1161 Nys Rte 9n, Ticonderoga, NY 12883 | 2016-09-16 |
| 1962776153 | Linda L Leavens | Counselor | 166 Lord Howe St., Ticonderoga, NY 12883 | 2012-03-06 |
| 1093958084 | Diana J Eisenberg | Skilled Nursing Facility | 340 Burgoyne Road, Ticonderoga, NY 12883 | 2009-04-07 |
| 1386765881 | Dean Lewis Cook | Dentist | 3 Defiance St, Ticonderoga, NY 12883 | 2007-04-02 |
| 1902936941 | Susan B Malaney | Counselor | 5 Defiance Street, Ticonderoga, NY 12883 | 2007-03-07 |
| 1023182813 | Moses Ludington Hospital Pharmacy | Pharmacy | 1019 Wicker Street, Ticonderoga, NY 12883 | 2006-11-20 |
| 1336245083 | Ticonderoga Emergency Squad Inc | Ambulance | 118 Champlain Avenue, Ticonderoga, NY 12883 | 2006-09-16 |
| 1952319386 | Hudson Headwaters Health Network | Social Worker | 101 Adirondack Drive, Suite 2, Ticonderoga, NY 12883 | 2006-08-03 |
| Find all providers in zip 12883 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330807 | Ny Orthopedics PC | Orthopaedic Surgery | 110 Duane Street, New York, NY 10007 | 2020-03-11 |
| 1770117483 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 5840 Merrick Rd, Massapequa, NY 11758-6225 | 2020-03-03 |
| 1669006375 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 77 N Centre Ave Ste 210, Rockville Centre, NY 11570-3923 | 2020-03-03 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1649801440 | Richard Allan Stram | Orthopaedic Surgery | 508 Murray Hill Rd, Vestal, NY 13850-3824 | 2020-01-30 |
| 1316594237 | Motaz Abdulrahman Alaqeel | Orthopaedic Surgery | 504 E 63rd St Apt 6s, New York, NY 10065-7912 | 2019-08-26 |
| 1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| 1528627866 | New York Orthopedic Hip & Knee Associates LLP | Orthopaedic Surgery | 25 Apawamis Ave, Rye, NY 10580-3528 | 2019-06-11 |
| 1396207528 | Ony Care of Ny II, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1b, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | TICONDEROGA |
| Zip Code | 12883 |
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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.