ADIRONDACK MEDICAL CENTER (NPI# 1487183174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487183174 |
| Entity Type | Organization |
| Organization Name | ADIRONDACK MEDICAL CENTER |
| Other Organization Name | ADIRONDACK MEDICAL CENTER-HOSPITALISTS |
| Practice Address |
2233 State Route 86 Saranac Lake NY 12983-5644 |
| Mailing Address |
Po Box 1380 Saranac Lake NY 12983-7380 |
| Practice Telephone | 5188972479 |
| Practice Fax Number | 5188972530 |
| Mailing Telephone | 5188972479 |
| Mailing Fax Number | 5188972530 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | TRISTAN GLANVILLE (CFO) |
| Authorized Official Telephone | 5188972301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00363213 | 05 |
| Other Name | Type Code |
|---|---|
| Adirondack Medical Center-Hospitalists | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679698872 | Adirondack Medical Center | General Acute Care Hospital | 47 Park St, Suite #1, Tupper Lake, NY 12986-1616 | 2007-03-20 |
| 1780694059 | Adirondack Medical Center | Skilled Nursing Facility | 114 Wawbeek Ave, Tupper Lake, NY 12986-2038 | 2006-08-09 |
| 1821609215 | Adirondack Medical Center | Health Educator | 2233 State Route 86, National Diabetes Prevention Program, Saranac Lake, NY 12983 | 2020-08-11 |
| 1851601108 | Adirondack Medical Center | General Acute Care Hospital | 285 County Route 47, Wound & Hyperbaric Treatment Center, Saranac Lake, NY 12983-5403 | 2010-10-20 |
| 1356656045 | Adirondack Medical Center | Clinic/Center | 114 Wawbeek Ave, Tupper Lake, NY 12986-2038 | 2010-08-18 |
| 1245446533 | Adirondack Medical Center | Nurse Practitioner | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-05-15 |
| 1730217613 | Adirondack Medical Center | General Acute Care Hospital | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-03-01 |
| 1922135367 | Adirondack Medical Center | General Acute Care Hospital | 2233 State Route 86, Renal Dialysis Center, Saranac Lake, NY 12983-5644 | 2007-02-27 |
| 1831226273 | Adirondack Medical Center | Psychiatric Unit | 2233 State Route 86, Colby Center, Saranac Lake, NY 12983-5644 | 2007-02-27 |
| 1740317189 | Adirondack Medical Center | Medicare Defined Swing Bed Unit | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADIRONDACK MEDICAL CENTER | Po Box 471, Saranac Lake, Ny 129830471 |
| New York State Corporations | ADIRONDACK MEDICAL CENTER FOUNDATION | Attention: Development Office, Lake Colby Drive, Saranac Lake, Ny 12983 |
| Street Address |
2233 STATE ROUTE 86 |
| City | SARANAC LAKE |
| State | NY |
| Zip Code | 12983-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803735 | Richard P Handler | Internal Medicine | 2233 State Route 86, Rheumatology Suite 2, Saranac Lake, NY 12983-5644 | 2005-09-27 |
| 1821609215 | Adirondack Medical Center | Health Educator | 2233 State Route 86, National Diabetes Prevention Program, Saranac Lake, NY 12983 | 2020-08-11 |
| 1023639028 | Lara Niles | Nurse Practitioner | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2020-04-30 |
| 1609414929 | Kristina F Hybicki | Social Worker | 2233 State Route 86, Bariatrics Center, Saranac Lake, NY 12983 | 2019-12-17 |
| 1023651304 | Jessica Lynn Novak | Registered Nurse | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2019-10-19 |
| 1609434679 | Nathan A Smith | Physician Assistant | 2233 State Route 86, Emergency Department, Saranac Lake, NY 12983 | 2019-06-04 |
| 1760907778 | Emily Gedney | Physician Assistant | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2017-08-10 |
| 1003359001 | Joni Kristina Gerken | Dietitian, Registered | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2016-11-22 |
| 1841732765 | Adirondack Health Regional Medical, P.C. | Family Medicine | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2016-11-09 |
| 1215348289 | Marc A Johnson | Social Worker | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013486315 | Aisha Dominique Wood | Physical Therapist | 2233 Ny-86, Saranac Lake, NY 12983 | 2018-11-15 |
| 1215357132 | Ashley Garwood | Occupational Therapist | 38 Tahoma Road, Saranac Lake, NY 12983 | 2014-04-17 |
| 1841537982 | Dean Everritt | Social Worker | 33 Depot St., Saranac Lake, NY 12983 | 2013-01-09 |
| 1265797013 | Danielle Carr | Counselor | 28 Bernard Street, Saranac Lake, NY 12983 | 2012-07-09 |
| 1275807489 | Deborah Ann Stevens | Licensed Practical Nurse | 157 Bloomingdale Ave Apt 3, Saranac Lake, NY 12983 | 2012-03-06 |
| 1699085910 | Jessica Evans Jakobe | Speech-Language Pathologist | 141 Petrova Ave, Petrova Elementary, Saranac Lake, NY 12983 | 2010-10-20 |
| 1548407562 | Eve M Burns | Obstetrics & Gynecology | 309 County Route 47 Ste 2, Saranac Lake, NY 12983 | 2009-01-13 |
| 1174735492 | Citizen Advocates Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 Shepard Ave Apt. 1, Saranac Lake, NY 12983 | 2007-05-07 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1467536797 | Clifford Gerard Wagner | Chiropractor | 53 Woodruff Street, Saranac Lake, NY 12983 | 2006-10-24 |
| Find all providers in zip 12983 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
| Find all providers with the same taxonomy | ||||
| City | SARANAC LAKE |
| Zip Code | 12983 |
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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.