NORTH COUNTRY SPORTS MEDICINE PPLC (NPI# 1588928022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588928022 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY SPORTS MEDICINE PPLC |
| Practice Address |
1134 State Route 29 Greenwich NY 12834-6107 |
| Mailing Address |
25 Willowbrook Rd Suite 2 Queensbury NY 12804-5882 |
| Practice Telephone | 5187939156 |
| Practice Fax Number | 5187936591 |
| Mailing Telephone | 5187939156 |
| Mailing Fax Number | 5187936591 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | LORI BALDWIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5187939156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 181379 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1134 STATE ROUTE 29 |
| City | GREENWICH |
| State | NY |
| Zip Code | 12834-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958810 | William A Papura | Neuromusculoskeletal Medicine & OMM | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2005-08-09 |
| 1861800351 | Brandii A Baker | Nurse Practitioner | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2014-07-28 |
| 1336497387 | Glens Falls Hospital Inc | Internal Medicine | 1134 State Route 29, Greenwich Regional Medical Center Specialty Suite, Greenwich, NY 12834-6107 | 2012-08-23 |
| 1407103922 | Glens Falls Hospital Inc | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-08-15 |
| 1013272939 | Kristen Kelley | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-07-06 |
| 1417241266 | Ashley Lynne Watson | Nurse Practitioner | 1134 State Route 29, Greenwich, NY 12834-6107 | 2011-06-08 |
| 1982909479 | Darlene A O'dell | Physical Therapist | 1134 State Route 29, Greenwich, NY 12834-6107 | 2011-01-14 |
| 1033204698 | Frank Hiroshi Westad | Nurse Practitioner | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2006-10-03 |
| 1831282128 | Gerard Wichrowski | Social Worker | 1134 State Route 29, Greenwich, NY 12834-6107 | 2006-10-02 |
| 1740266113 | Doreen L Potter | Physician Assistant | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518244458 | Ashli Marie Gifford | Speech-Language Pathologist | 10 Gray Ave., Greenwich Csd, Greenwich, NY 12834 | 2011-11-07 |
| 1700046299 | Christine C Polchowski | Massage Therapist | 2615 State Route 40, Greenwich, NY 12834 | 2008-06-10 |
| 1699952481 | Marc John Mercurio | Pharmacist | 1169 Route 29, Greenwich, NY 12834 | 2008-01-24 |
| 1003095282 | L. Arnold Wyse | Psychiatry & Neurology | 154 Stevenson Rd, Greenwich, NY 12834 | 2007-10-24 |
| 1881891398 | Mary Carpenter Lawrence | Physical Therapist | 5 Salem St, 2nd Floor, Greenwich, NY 12834 | 2007-06-28 |
| 1760511729 | Battenkill Community Services, Inc. | Day Training, Developmentally Disabled Services | 336 State Rte 29, Greenwich, NY 12834 | 2007-03-05 |
| 1508922501 | Board of Education | Local Education Agency (LEA) | 10 Gray Ave, Greenwich, NY 12834 | 2006-12-28 |
| 1396848131 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1169 Rte 29, Greenwich, NY 12834 | 2006-09-07 |
| 1134237514 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 1165 Route 29, Greenwich, NY 12834 | 2006-08-27 |
| 1386688455 | Richard S Price | Optometrist | Route 29, Greenwich, NY 12834 | 2006-06-16 |
| Find all providers in zip 12834 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200031 | Francis Ennis | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-01-18 |
| 1174092837 | Elizabeth Luketich | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2018-11-24 |
| 1083052633 | Heeren S Makanji | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2013-06-05 |
| 1952746836 | Kevin Choo | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2013-05-06 |
| 1225395783 | Mark Yakavonis | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2012-04-20 |
| 1063706232 | Jonathan L Berliner | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2011-06-06 |
| 1144546888 | Matthew Cantlon | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2010-04-19 |
| 1194968321 | David H Wei | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2009-04-17 |
| 1760638324 | Sean C Peden | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2008-08-14 |
| 1013174697 | Mark Anthony Vitale | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2008-05-21 |
| Find all providers in GREENWICH | ||||
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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.