ELLIS HOSPITAL (NPI# 1487644993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487644993 |
| Entity Type | Organization |
| Organization Name | ELLIS HOSPITAL |
| Practice Address |
1101 Nott St Schenectady NY 12308-2425 |
| Mailing Address |
600 Mcclellan St Schenectady NY 12304-1009 |
| Practice Telephone | 5182434000 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | MR. PAUL A MILTON (CEO) |
| Authorized Official Telephone | 5182434141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4601001H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BSNENY | 000400009000 | 01 |
| NY | CDPHP | 10005801 | 01 |
| NY | MVP | 0101 | 01 |
| NY | EMPIRE BLUE CROSS | 000009 | 01 |
| NY | 00347562 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548823 | Ellis Hospital | Clinic/Center | 200 Harborside Drive, Suite 101, Schenectady, NY 12305-1020 | 2018-08-16 |
| 1699255190 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 202, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1871073353 | Ellis Hospital | Clinic/Center | 990 State Route 67 Ste 101, Ballston Spa, NY 12020-3603 | 2018-08-15 |
| 1972077386 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-01-18 |
| 1639659931 | Ellis Hospital | Clinic/Center | 103 Sitterly Rd Ste 2300, Halfmoon, NY 12065-5646 | 2018-08-16 |
| 1548740848 | Ellis Hospital | Clinic/Center | 115 Saratoga Rd Ste 200, Glenville, NY 12302-4224 | 2018-08-16 |
| 1023598331 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste G2, Schenectady, NY 12304-1024 | 2018-08-16 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1902386485 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1881174381 | Ellis Hospital | Clinic/Center | 2537 Route 9, Suite 203, Malta, NY 12020 | 2018-08-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELLIS HOSPITAL | 1101 Nott Street, Schenectady, Ny 12308 |
| New York State Corporations | ELLIS HOSPITAL FOUNDATION, INC. | 1101 Nott Street, Schenectady, Ny 12308 |
| Massachusetts Corporations | ELLIS HOSPITALITY GROUP, INC. | 111 North Main St., Petersham, MA 01366 |
| Virginia Business Entities | Ellis Hospitality Properties LLC | 107 East Main Street, Marion, Virginia 24354 |
| Street Address |
1101 NOTT ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12308-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234905 | David M Liebers | Internal Medicine | 1101 Nott St, Schenectady, NY 12308-2425 | 2005-06-10 |
| 1235730722 | Ryker Reilly Bodo | Pharmacist | 1101 Nott St, Schenectady, NY 12308-2425 | 2020-11-03 |
| 1417571290 | Michelle L Rightmyer | Registered Nurse | 1101 Nott St, Schenectady, NY 12308-2425 | 2020-06-08 |
| 1649804204 | Lisa Bzdell | Physical Therapist | 1101 Nott St, Schenectady, NY 12308-2489 | 2020-02-23 |
| 1427696129 | Mary Chew | Physical Therapist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1962040667 | Alexis Martino | Speech-Language Pathologist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1598303299 | Kevin Laurilla | Physical Therapist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1306484001 | Amy Souky | Speech-Language Pathologist | 1101 Nott St, Schenectady, NY 12308-2425 | 2019-12-13 |
| 1851942908 | Emily Proper | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2489 | 2019-09-20 |
| 1245881382 | Carylann Hedderman Geddes | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2489 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004125 | Mary C O'brien | Registered Nurse | 90 Elmer Ave, Schenectady, NY 12308 | 2011-12-21 |
| 1114203882 | Gina R Davenport | Speech-Language Pathologist | Zoller Elementary School, 1180 Lancaster Street, Schenectady, NY 12308 | 2011-10-26 |
| 1831472315 | Laura A Denofio | Social Worker | 1445 The Plaza, Schenectady, NY 12308 | 2011-09-21 |
| 1023328440 | Anthony G. Cortese | Social Worker | 1362 Union Street, Schenectady, NY 12308 | 2010-10-19 |
| 1205142288 | Jessica Lee Schoen | Pharmacist | 461 Nott Street, Schenectady, NY 12308 | 2010-08-27 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1316274194 | Helping Hands Nurse Staffing Services, LLC | Nursing Care | 2180 Avenue B, Schenectady, NY 12308 | 2009-11-16 |
| 1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
| 1891973459 | Anthony Joseph De Palma Sr. | Dentist | 1351 Union Street, Schenectady, NY 12308 | 2008-02-06 |
| 1447464029 | Lauren Weisberg Savage | Social Worker | 1411 Union Street, Schen, NY 12308 | 2007-05-10 |
| Find all providers in zip 12308 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942745831 | Ellis Hospital | General Acute Care Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2016-12-30 |
| 1669570313 | St. Clare's Hospital of Schenectady New York | General Acute Care Hospital | 624 Mcclellan St, Suite G06, Schenectady, NY 12304-1020 | 2006-09-20 |
| 1700892197 | St. Clare's Hospital of Schenectady New York | General Acute Care Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2006-07-31 |
| 1801886072 | St. Clares Hospital | General Acute Care Hospital | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12308 |
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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.