NORTHERN MEDICAL GROUP, PLLC (NPI# 1487196630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487196630 |
| Entity Type | Organization |
| Organization Name | NORTHERN MEDICAL GROUP, PLLC |
| Practice Address |
664 Stoneleigh Ave Ste 100 Carmel NY 10512-3990 |
| Mailing Address |
159 Barnegat Rd Poughkeepsie NY 12601-5454 |
| Practice Telephone | 8452795136 |
| Practice Fax Number | 8452795168 |
| Mailing Telephone | 8455924915 |
| Mailing Fax Number | 8455924914 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | MADDIPOTI CHOUDRY (PRESIDENT) |
| Authorized Official Telephone | 8455924915 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712181 | Northern Medical Group, Pllc | Podiatrist | 400 Westage Business Ctr Dr Ste 211, Fishkill, NY 12524-2267 | 2020-05-21 |
| 1649712787 | Northern Medical Group, Pllc | Podiatrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2016-11-07 |
| 1487196622 | Northern Medical Group, Pllc | Assistant, Podiatric | 822 Route 82, Suite 110, Hopewell Jct, NY 12533-7373 | 2016-11-04 |
| 1174994826 | Northern Medical Group, Pllc | Optometrist | 111 Clock Tower Cmns, Brewster, NY 10509-4055 | 2015-10-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTHERN MEDICAL GROUP, PLLC | 111 Clocktower Commons Dr., Brewster, New York 10509 |
| Street Address |
664 STONELEIGH AVE STE 100 |
| City | CARMEL |
| State | NY |
| Zip Code | 10512-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104382704 | Health Quest Medcial Practice, PC | Podiatrist | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2019-02-19 |
| 1972069599 | Health Quest Medical Practice, PC | Internal Medicine | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2019-02-19 |
| 1275050684 | Smitha John | Nurse Practitioner | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2017-08-25 |
| 1932626520 | Aleena Ashok Malayil | Nurse Practitioner | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706272 | Health Quest Medical Practice, PC | Family Medicine | 150 Route 52-metabolic Program, Carmel, NY 10512 | 2020-10-08 |
| 1487282950 | Daniel Bryan Rush | Student in an Organized Health Care Education/Training Program | Putnam Hospital Center, 660 Stonrlrigh Avenue, Carmel Hamlet, NY 10512 | 2020-03-31 |
| 1083139521 | Colette Mignogna | Physical Therapist | 902 Vista On The Lake, Carmel, NY 10512 | 2017-08-06 |
| 1366965543 | Amanda Marie Santangelo | Speech-Language Pathologist | 281 Daisy Lane, Carmel, NY 10512 | 2017-07-19 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1356702369 | Terry-ann Mclennon | Social Worker | 494 Nimham Rd, Kent Lakes, NY 10512 | 2016-03-18 |
| 1033529698 | Daisy Lee | Dentist | 667 Stoneleigh Ave Ste 301, Carmel, NY 10512 | 2014-05-05 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1588901185 | Robyn Weindel | Speech-Language Pathologist | 2506 Kings Way, Carmel, NY 10512 | 2013-01-16 |
| 1447509641 | Rachael Palmer Jones | Registered Nurse | 670 Stoneleigh Ave Ste C-122, Carmel, NY 10512 | 2012-09-04 |
| Find all providers in zip 10512 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1437458072 | Tina Michelle Perron | Podiatrist | 13295 Illinois St Ste 104, Carmel, IN 46032-3025 | 2011-03-22 |
| 1295953610 | Karen Sue Kiker | Podiatrist | 26135 Carmel Rancho Blvd, Suite 22, Carmel, CA 93923-8716 | 2007-04-23 |
| 1306928353 | William F Keyes | Podiatrist | 2000 E 116th Street, Suite 103, Carmel, IN 46032-3581 | 2006-10-19 |
| 1861499782 | Michele Kraft | Podiatrist | 26615 Carmel Center Pl Ste 103, Carmel, CA 93923-8654 | 2005-07-07 |
| 1225643992 | American Health Network of Kentucky, LLC | Podiatrist | 10689 N Pennsylvania St Ste 200, Carmel, IN 46280-1099 | 2020-09-10 |
| 1649805136 | Health Quest Medical Practice, PC | Podiatrist | 150 Route 52, Carmel, NY 10512-1200 | 2020-03-05 |
| 1104382704 | Health Quest Medcial Practice, PC | Podiatrist | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2019-02-19 |
| 1902338320 | Tyler Daniel Mckee | Podiatrist | 12188b N Meridian St Ste 330, Carmel, IN 46032-4900 | 2017-04-03 |
| 1407213903 | An Quoc Tran | Podiatrist | 13295 Illinois St, Suite 104, Carmel, IN 46032-3019 | 2016-01-28 |
| Find all providers in CARMEL | ||||
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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.