MONTICELLO FAMILY MEDICINE & WALK-IN CENTER (NPI# 1053566232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053566232 |
| Entity Type | Organization |
| Organization Name | MONTICELLO FAMILY MEDICINE & WALK-IN CENTER |
| Practice Address |
10 Prince St Ste 7 Monticello NY 12701-1919 |
| Mailing Address |
126 Upper Pinekill Rd Westbrookville NY 12785 |
| Practice Telephone | 8457947943 |
| Practice Fax Number | 8457918101 |
| Mailing Telephone | 8457947943 |
| Mailing Fax Number | 8457918101 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-11 |
| Authorized Official Name | MRS. ROBIN A DECARO (BILLING MANAGER) |
| Authorized Official Telephone | 8458564936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 229335 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02614639 | 05 |
| Street Address |
10 PRINCE ST STE 7 |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679914675 | Mitchell Hammel | Family Medicine | 100 W Washington St Ste 101, Monticello, IL 61856-1713 | 2013-07-08 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| 1326248774 | James Wyatt Stephens | Family Medicine | 128 Courthouse Sq, Monticello, MS 39654-6014 | 2007-07-24 |
| 1548464993 | Fredy H Cordova | Family Medicine | 766 Hl Ross Dr, Monticello, AR 71655 | 2007-06-11 |
| 1629141494 | Bonita C Musial | Family Medicine | 314 Main St., Suite D, Monticello, MS 39654-0949 | 2006-11-17 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| 1790865624 | Christine M Foster | Family Medicine | 1293 N Main St Ste 102, Monticello, KY 42633-1945 | 2006-10-16 |
| 1962598490 | Abraham G. Garfinkel | Family Medicine | 15 Hamilton Ave, Monticello, NY 12701-1319 | 2006-10-04 |
| 1033204110 | River Place Clinic Inc | Family Medicine | 114 West 3rd Street, Monticello, MN 55362 | 2006-10-04 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
Please comment or provide details below to improve the information on MONTICELLO FAMILY MEDICINE & WALK-IN CENTER.
| 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.