MOHAWK GLEN FAMILY PRACTICE PLLC (NPI# 1194746354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194746354 |
| Entity Type | Organization |
| Organization Name | MOHAWK GLEN FAMILY PRACTICE PLLC |
| Practice Address |
91 Perimeter Rd Suite 120 Rome NY 13441-4018 |
| Practice Telephone | 3153364830 |
| Mailing Telephone | 3153364830 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTHONY M COTRONEA (OWNER) |
| Authorized Official Telephone | 3153364830 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
91 PERIMETER RD SUITE 120 |
| City | ROME |
| State | NY |
| Zip Code | 13441-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702666 | Susan M Grove | Nurse Practitioner | 91 Perimeter Rd, Suite 120, Rome, NY 13441-4018 | 2005-07-07 |
| 1194181073 | Shannon Haggerty | Hearing Instrument Specialist | 91 Perimeter Rd, Suite 180, Rome, NY 13441-4018 | 2016-01-08 |
| 1700254448 | Here We Are | Specialist | 91 Perimeter Rd, Suite 180, Rome, NY 13441-4018 | 2015-09-11 |
| 1730521964 | Kathleen Grabo Pallay | Nurse Practitioner | 91 Perimeter Rd, Rome, NY 13441 | 2013-07-30 |
| 1538466115 | Mohawk Glen Radiology Associates of Cny Pllc | Radiology | 91 Perimeter Rd, Suite 110, Rome, NY 13441-4018 | 2011-02-17 |
| 1144355132 | Mohawk Glen Urgent Care, Pllc | Clinic/Center | 91 Perimeter Rd, Suite 100, Rome, NY 13441-4018 | 2007-02-22 |
| 1629119839 | Carolyn A Cole | Nurse Practitioner | 91 Perimeter Rd, Suite 120, Rome, NY 13441-4018 | 2007-02-09 |
| 1639244692 | Lafountain Chiropractic Center | Chiropractor | 91 Perimeter Rd, Suite 130, Rome, NY 13440 | 2006-11-22 |
| 1598851545 | Faxton-st. Lukes Healthcare | Clinic/Center | 91 Perimeter Rd, Ste. 140, Rome, NY 13441 | 2006-10-05 |
| 1902999865 | Jeffery Scott Roy | Physician Assistant | 91 Perimeter Rd, Suite 100, Rome, NY 13441-4018 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831484567 | Griffiss Ec, LLC | Clinic/Center | 105 Dart Circle, Rome, NY 13441 | 2011-06-10 |
| 1437328713 | Duane Leo Wallace | Dentist | 63 Geiger Road, Rome, NY 13441 | 2008-02-21 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1821102161 | Nicholas S Peters | Internal Medicine | 267 Hill Road, Suite 200, Rome, NY 13441 | 2006-08-17 |
| 1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
| 1275590408 | Antonietta Luisi | Optometrist | 125 Brookley Road, Rome, NY 13441 | 2006-05-01 |
| 1851822175 | Elizabeth C Santaniello | Nurse Practitioner | 267 Hill Rd, Rome, NY 13441 | 2017-03-27 |
| 1316208002 | Robert Firth Pickels Jr. | Surgery | 267 Hill Road, Rome, NY 13441 | 2012-05-30 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| 1578874582 | Nicole Dmitri Kekis | Physical Therapist | 130 Brookley Rd., Rome, NY 13441-2530 | 2010-06-24 |
| Find all providers in zip 13441 | ||||
| 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 |
|---|---|---|---|---|
| 1447602347 | Tobias Jakobus Wallbrecher | Family Medicine | Via Domenico Silveri 30, Rome, ITALY 00165 | 2016-07-05 |
| 1346648250 | Free Clinic of Rome Georgia Inc | Family Medicine | 101-b John Maddox Drive, Rome, GA 30165-1419 | 2014-12-09 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1164745782 | Michael S. Jackson, Md, PC | Family Medicine | 701 E 2nd Ave Sw, Suite C, Rome, GA 30161-6148 | 2010-03-10 |
| 1477723120 | Michael Edward Gonsalves | Family Medicine | 4159 Martha Berry Hwy Nw, Rome, GA 30165-7705 | 2008-03-10 |
| 1013108661 | Alexis Ann Eckard | Family Medicine | 255 W 5th Street, Suite 300, Rome, GA 30165 | 2007-08-08 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| 1265502926 | Thomas H. Pierzchala, M.d., P.C. | Family Medicine | 304a E 2nd Ave, Rome, GA 30161-3222 | 2006-11-09 |
| 1023198066 | Camille Dillard Do Health & Wellness PC | Family Medicine | 900 Erie Blvd W, Rome, NY 13440-2904 | 2006-10-16 |
| 1063504710 | Cheryl Reinhardt | Family Medicine | 5865 New Calhoun Hwy Ne, Rome, GA 30161-8253 | 2006-09-29 |
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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.