COMMUNITY CARE PHYSICIANS, PC (NPI# 1538431226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538431226 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | IMAGE CARE LATHAM |
| Practice Address |
711 Troy Schenectady Rd Suite 114 Latham NY 12110-2442 |
| Mailing Address |
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 |
| Practice Telephone | 5187861600 |
| Practice Fax Number | 5187861606 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5187823742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
146193 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Image Care Latham | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025888 | Community Care Physicians, PC | Surgery | 2520 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2017-11-02 |
| 1255853065 | Community Care Physicians, PC | Family Medicine | 711 Troy Schenectady Rd Ste 109, Latham, NY 12110-2454 | 2017-07-13 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| 1780956474 | Community Care Physicians, PC | Obstetrics & Gynecology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-01-27 |
| 1285905786 | Community Care Physicians, PC | Internal Medicine | 199 Delaware Ave, Delmar, NY 12054-1229 | 2012-01-16 |
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1841573706 | Community Care Physicians, PC | Pediatrics | 942 A Route 146, Clifton Park, NY 12605-3614 | 2011-09-27 |
| 1104109065 | Community Care Physicians, PC | Internal Medicine | 2546 Balltown Road, Suite 200, Schenectady, NY 12309-1079 | 2011-09-27 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1093097586 | Community Care Physicians, PC | Family Medicine | 2524 Us Route 9w, Ravena, NY 12143-2804 | 2011-09-12 |
| Street Address |
711 TROY SCHENECTADY RD SUITE 114 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115157 | Junnong Tang | Physical Medicine & Rehabilitation | 711 Troy Schenectady Rd, Suite 207b, Latham, NY 12110-2442 | 2005-09-26 |
| 1841891678 | Sarah Evans | Physician Assistant | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2020-11-06 |
| 1598319881 | Raelyn Passino | Pharmacist | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2019-07-25 |
| 1720566623 | Lori A George | Counselor | 711 Troy Schenectady Rd, Latham, NY 12110-2442 | 2018-08-02 |
| 1144760661 | Katharine Campbell | Occupational Therapist | 711 Troy Schenectady Rd, Suite 216, Latham, NY 12110 | 2017-03-02 |
| 1083157051 | Kyle Mckeighan | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-11-23 |
| 1356883052 | Diane Sweeney | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-11-11 |
| 1730630294 | Meghan T Brigham | Nurse Practitioner | 711 Troy Schenectady Rd, Suite 104, Latham, NY 12110-2442 | 2016-10-19 |
| 1720439243 | Ashley Crews | Physical Therapist | 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110-2442 | 2016-06-27 |
| 1639529712 | Michael Lynch | Radiology Practitioner Assistant | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255623666 | Meghan Sahr | Radiology | 711 Troy Schenectady Rd Ste 114, Latham, NY 12110-2454 | 2011-05-04 |
| 1144300104 | Mitchel Campito | Radiology | Crhp-711 Troy-schenectady Road, Suite 114, Latham, NY 12110 | 2006-10-16 |
| 1235187832 | Comprehensive Mri of New York, P.C. | Radiology | 4 Johnson Rd, Latham, NY 12110-5641 | 2006-05-05 |
| 1629069679 | Tariq Gill | Radiology | 711 Troy-schenectady Road, Latham, NY 12110 | 2005-10-31 |
| 1598025595 | Jessica Lauren Fournier | Radiology | 711 Troy Schenectady Rd Ste 114, Latham, NY 12110 | 2012-05-23 |
| 1073742011 | Samit N Shah | Radiology | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2009-07-13 |
| 1487895579 | Catherine L Wells | Radiology | 711 Troy Schenectady Rd, Suite 114, Latham, NY 12110-2442 | 2009-03-18 |
| 1477702322 | Paul Francis Hegener | Radiology | 711 Troy Schenectady Rd, Suite 201, Latham, NY 12110-2442 | 2008-09-16 |
| 1720235039 | Schenectady Radiologists | Radiology | 1182 Troy Schenectady Road, Latham, NY 12110 | 2008-08-19 |
| 1710143011 | Igor Genov | Radiology | 711 Troy Schenectady Rd, Suite 201, Latham, NY 12110-2442 | 2008-08-06 |
| Find all providers in LATHAM | ||||
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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.