GLENS FALLS HOSPITAL INC (NPI# 1336497387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336497387 |
| Entity Type | Organization |
| Organization Name | GLENS FALLS HOSPITAL INC |
| Other Organization Name | GREENWICH REGIONAL MEDICAL CENTER SPECIALTY SUITE |
| Practice Address |
1134 State Route 29 Greenwich Regional Medical Center Specialty Suite Greenwich NY 12834-6107 |
| Mailing Address |
Po Box 304 Adirondack Medical Services Glens Falls NY 12801-0304 |
| Practice Telephone | 5186929635 |
| Practice Fax Number | 5186927586 |
| Mailing Telephone | 5189266999 |
| Mailing Fax Number | 5189266984 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | PAUL SCIMECA (VICE PRESIDENT PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 5189265902 |
| Is Organization Subpart | Y |
| Parent Organization Name | GLENS FALLS HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Greenwich Regional Medical Center Specialty Suite | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275881922 | Glens Falls Hospital Inc | Family Medicine | 213 Main Street, Salem Family Health Center, Salem, NY 12865-3121 | 2012-08-28 |
| 1376891317 | Glens Falls Hospital Inc | Internal Medicine | 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4789 | 2012-08-23 |
| 1861740813 | Glens Falls Hospital Inc | Neurological Surgery | 135 North Rd, The Medical Center At Wilton-specialty Suite, Wilton, NY 12831-1308 | 2012-08-23 |
| 1518215565 | Glens Falls Hospital Inc | Otolaryngology | 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801-4363 | 2012-08-23 |
| 1548518582 | Glens Falls Hospital Inc | Family Medicine | 135 North Rd, Wilton Family Medicine, Wilton, NY 12831-1308 | 2012-08-23 |
| 1760730030 | Glens Falls Hospital Inc | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2012-08-17 |
| 1679821110 | Glens Falls Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 102 Park St, Center for Chest & Lung Surgery, Glens Falls, NY 12801-4403 | 2012-08-15 |
| 1598012015 | Glens Falls Hospital Inc | Family Medicine | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2012-08-15 |
| 1023365541 | Glens Falls Hospital Inc | Internal Medicine | 325 Main St, Hudson Falls Internal Medicine, Hudson Falls, NY 12839-1512 | 2012-08-15 |
| 1407103922 | Glens Falls Hospital Inc | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-08-15 |
| Street Address |
1134 STATE ROUTE 29 GREENWICH REGIONAL MEDICAL CENTER SPECIALTY SUITE |
| City | GREENWICH |
| State | NY |
| Zip Code | 12834-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958810 | William A Papura | Neuromusculoskeletal Medicine & OMM | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2005-08-09 |
| 1861800351 | Brandii A Baker | Nurse Practitioner | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2014-07-28 |
| 1407103922 | Glens Falls Hospital Inc | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-08-15 |
| 1013272939 | Kristen Kelley | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-07-06 |
| 1588928022 | North Country Sports Medicine Pplc | Orthopaedic Surgery | 1134 State Route 29, Greenwich, NY 12834-6107 | 2012-06-29 |
| 1417241266 | Ashley Lynne Watson | Nurse Practitioner | 1134 State Route 29, Greenwich, NY 12834-6107 | 2011-06-08 |
| 1982909479 | Darlene A O'dell | Physical Therapist | 1134 State Route 29, Greenwich, NY 12834-6107 | 2011-01-14 |
| 1033204698 | Frank Hiroshi Westad | Nurse Practitioner | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2006-10-03 |
| 1831282128 | Gerard Wichrowski | Social Worker | 1134 State Route 29, Greenwich, NY 12834-6107 | 2006-10-02 |
| 1740266113 | Doreen L Potter | Physician Assistant | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518244458 | Ashli Marie Gifford | Speech-Language Pathologist | 10 Gray Ave., Greenwich Csd, Greenwich, NY 12834 | 2011-11-07 |
| 1700046299 | Christine C Polchowski | Massage Therapist | 2615 State Route 40, Greenwich, NY 12834 | 2008-06-10 |
| 1699952481 | Marc John Mercurio | Pharmacist | 1169 Route 29, Greenwich, NY 12834 | 2008-01-24 |
| 1003095282 | L. Arnold Wyse | Psychiatry & Neurology | 154 Stevenson Rd, Greenwich, NY 12834 | 2007-10-24 |
| 1881891398 | Mary Carpenter Lawrence | Physical Therapist | 5 Salem St, 2nd Floor, Greenwich, NY 12834 | 2007-06-28 |
| 1760511729 | Battenkill Community Services, Inc. | Day Training, Developmentally Disabled Services | 336 State Rte 29, Greenwich, NY 12834 | 2007-03-05 |
| 1508922501 | Board of Education | Local Education Agency (LEA) | 10 Gray Ave, Greenwich, NY 12834 | 2006-12-28 |
| 1396848131 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1169 Rte 29, Greenwich, NY 12834 | 2006-09-07 |
| 1134237514 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 1165 Route 29, Greenwich, NY 12834 | 2006-08-27 |
| 1386688455 | Richard S Price | Optometrist | Route 29, Greenwich, NY 12834 | 2006-06-16 |
| Find all providers in zip 12834 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710277843 | Sara Seidelmann | Internal Medicine | 644 W Putnam Ave Ste 203, Greenwich, CT 06830-6088 | 2011-04-11 |
| 1427168129 | Kevin E Conboy | Internal Medicine | 49 Lake Ave Ste Ll3, Greenwich, CT 06830-4501 | 2006-08-30 |
| 1871503383 | Robert Michael Stark | Internal Medicine | 40 W Elm St, Greenwich, CT 06830-6425 | 2006-08-08 |
| 1679983209 | Joel M. Blumberg Md PC | Internal Medicine | 644 W Putnam Ave, Greenwich, CT 06830-6008 | 2014-05-05 |
| 1972889731 | Weill Medical College of Cornell University | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2011-10-25 |
| 1841520293 | Mill Hill Medical Consultants Inc | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2010-01-07 |
| 1629264353 | Gandelman Cardiology, PC | Internal Medicine | 67 Holly Hill Ln, Suite 102, Greenwich, CT 06830-6072 | 2007-09-17 |
| 1033322151 | Christopher M Edelmann,m.d.,p.c. | Internal Medicine | 42 Sherwood Pl, Greenwich, CT 06830-5638 | 2007-05-07 |
| 1538205372 | Kevin E. Conboy, Md | Internal Medicine | 38 Lake Ave, Greenwich, CT 06830-4515 | 2007-01-29 |
| 1558436766 | The Greenwich Medical Group | Internal Medicine | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | 2006-11-22 |
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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.