ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1376092692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376092692 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Practice Address |
2 New Hampshire Ave St. Peter's Bariatric Care Troy NY 12180-1764 |
| Mailing Address |
Po Box 14890 Sphp Payer Credentialing Albany NY 12212-4890 |
| Practice Telephone | 5185911121 |
| Practice Fax Number | 5186494094 |
| Mailing Telephone | 5185911121 |
| Mailing Fax Number | 5186494094 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | JANICE MACKE (CFO) |
| Authorized Official Telephone | 5185256931 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821535592 | St. Peter's Health Partners Medical Associates, PC | General Practice | 713 Troy Schenectady Rd Ste 304, St. Peter's Ob/gyn At Latham, Latham, NY 12110-2490 | 2017-01-19 |
| 1629512876 | St. Peter's Health Partners Medical Associates, PC | Nurse Practitioner | 582 New Loudon Road, Latham, NY 12110-5707 | 2016-12-07 |
| 1265983530 | St. Peter's Health Partners Medical Associates, PC | General Practice | 2 New Hampshire Avenue, Capital Region Diabetes & Endocrine Care, Troy, NY 12180-1764 | 2016-10-20 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1255871828 | St. Peter's Health Partners Medical Associates, PC | Nutritionist | 279 Troy Road, Family Medical Group, Rensselaer, NY 12144-9518 | 2017-03-02 |
| 1083168603 | St. Peter's Health Partners Medical Associates, PC | Emergency Medicine | 400 Patroon Creek Blvd, Suite 100, Albany, NY 12206-5013 | 2016-08-11 |
| 1093160822 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2016-04-29 |
| 1457706731 | St. Peter's Health Partners Medical Associates, PC | Psychiatry & Neurology | 63 Shaker Road, Suite G01, Albany, NY 12204-1030 | 2016-04-25 |
| 1720441215 | St. Peter's Health Partners Medical Associates, PC | Internal Medicine | 55 Mohawk St, Suite 105, Cohoes, NY 12047-2629 | 2016-04-01 |
| 1083031983 | St. Peter's Health Partners Medical Associates, PC | Nurse Practitioner | 4 Palisades Dr, Suite 200a, Albany, NY 12205-1443 | 2014-03-28 |
| Street Address |
2 NEW HAMPSHIRE AVE ST. PETER'S BARIATRIC CARE |
| City | TROY |
| State | NY |
| Zip Code | 12180-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856388 | David H Bruce | Internal Medicine | 2 New Hampshire Ave, Ste 250, Troy, NY 12180-1753 | 2005-07-21 |
| 1033749049 | Nicole R Humiston | Registered Nurse | 2 New Hampshire Ave, Troy, NY 12180-1764 | 2020-01-17 |
| 1205255049 | Albany Medical College | Psychiatry & Neurology | 2 New Hampshire Ave, Troy, NY 12180-1762 | 2014-04-09 |
| 1609299502 | Thaofiq Olatunde Ijaiya | Internal Medicine | 2 New Hampshire Ave, Troy, NY 12180-1764 | 2014-01-28 |
| 1780920926 | Irina Montes | Physician Assistant | 2 New Hampshire Ave, Troy, NY 12180-1764 | 2012-12-17 |
| 1942545777 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2 New Hampshire Ave, Troy, NY 12180-1764 | 2012-12-05 |
| 1437416450 | The Neurology Group, LLP | Psychiatry & Neurology | 2 New Hampshire Ave, Suite 200, Troy, NY 12180-1762 | 2012-04-16 |
| 1962652867 | Joseph Michael Seguel | Internal Medicine | 2 New Hampshire Ave, Troy, NY 12180-1762 | 2008-09-26 |
| 1154537264 | Mary Annelle Collins | Physician Assistant | 2 New Hampshire Ave, Troy, NY 12180-1764 | 2007-05-15 |
| 1457571465 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 2 New Hampshire Ave, Suite 200, Troy, NY 12180-1762 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689104358 | Joseph Taseer Syed | Surgery | 3793 Coolidge Hwy, Troy, MI 48084-1418 | 2017-06-15 |
| 1184012403 | Roger Howard | Surgery | 5726 Sussex Ct, Troy, MI 48098-2395 | 2015-01-08 |
| 1811284425 | Azmath Mohammed | Surgery | 6832 Fredmoor Dr, Troy, MI 48098-1727 | 2011-07-03 |
| 1992017685 | William P Brown | Surgery | Rr 2 Box 61a, Troy, PA 16947-9501 | 2010-07-09 |
| 1881927903 | Reza Ghazi | Surgery | 1868 Kirts Blvd, Apt No#208, Troy, MI 48084-4337 | 2009-09-08 |
| 1265685143 | Inad Naim Janineh | Surgery | 5600 Rochester Rd, Troy, MI 48085-3374 | 2008-10-23 |
| 1992960157 | Pradeesh M. George | Surgery | 3130 N County Road 25a Ste 214, Troy, OH 45373-1337 | 2008-07-26 |
| 1619167640 | Matthew Dennis Mcdonald | Surgery | 720 Hoosick Road, Bariatric and Metabolic Care, Troy, NY 12180 | 2007-07-26 |
| 1942415849 | Peter G. Perakis | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2007-05-14 |
| 1780759852 | Wagdi E Credi | Surgery | 201 Eckford Dr, Troy, MI 48085-4769 | 2006-11-22 |
| Find all providers in TROY | ||||
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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.