RAYMOND A MADDOCKS (NPI# 1598815714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598815714 |
| Entity Type | Individual |
| Full Name | RAYMOND A MADDOCKS |
| Credential | MD |
| Practice Address |
102 Park Street Suite 201 Glens Falls NY 12801 |
| Practice Telephone | 5187981719 |
| Practice Fax Number | 5187981943 |
| Mailing Telephone | 5187981719 |
| Mailing Fax Number | 5187981943 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 137920 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00806515 | 05 |
| Street Address |
102 PARK STREET SUITE 201 |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194875310 | Harry H. Slatch | Urology | 102 Park Street, Suite 201, Glens Falls, NY 12801 | 2007-01-11 |
| 1386166890 | Kari Lynn Sudfeld | Nurse Practitioner | 102 Park Street, Adirondack Urology, Glens Falls, NY 12801 | 2017-07-17 |
| 1902209729 | Kathleen Bubnack Crotty | Physician Assistant | 102 Park Street, Glens Falls Hospital Neurology, Glens Falls, NY 12801 | 2014-10-07 |
| 1265588966 | Adirondack Urology Associates PC | Urology | 102 Park Street, Suite 201, Glens Falls, NY 12801-4449 | 2007-01-26 |
| 1487704607 | Brian King | Urology | 102 Park Street, Suite 201, Glens Falls, NY 12801 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831586999 | Glens Falls Hospital Inc. | Urology | 102 Park St Ste 201, Gfh - Adirondack Urology, Glens Falls, NY 12801-4449 | 2015-04-16 |
| 1194875310 | Harry H. Slatch | Urology | 102 Park Street, Suite 201, Glens Falls, NY 12801 | 2007-01-11 |
| 1063405298 | Peter M Hughes | Urology | 526 Glen St, Glens Falls, NY 12801-2232 | 2005-08-23 |
| 1679830053 | Peter M Hughes, Md | Urology | 526 Glen St, Glens Falls, NY 12801-2232 | 2012-04-23 |
| 1750556312 | Samuel Gottesman Md PC | Urology | 90 South St, Ste J, Glens Falls, NY 12801-4328 | 2008-04-24 |
| 1265588966 | Adirondack Urology Associates PC | Urology | 102 Park Street, Suite 201, Glens Falls, NY 12801-4449 | 2007-01-26 |
| 1548313745 | Samuel M Gottesman | Urology | 102 Park St, Suite 201, Glens Falls, NY 12801-4403 | 2007-01-19 |
| 1487704607 | Brian King | Urology | 102 Park Street, Suite 201, Glens Falls, NY 12801 | 2007-01-11 |
| 1336299551 | Vincent T Cooper | Urology | 14 Hudson Avenue, Surgical Specialists of Glens Falls Hospial, Glens Falls, NY 12801 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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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.