FAMILY PRACTICE MCCLELLAN (NPI# 1629351903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629351903 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE MCCLELLAN |
| Practice Address |
600 Mcclellan St Msgr. Keane Pavillion Schenectady NY 12304-1009 |
| Practice Telephone | 5183463222 |
| Practice Fax Number | 5183462436 |
| Mailing Telephone | 5183463222 |
| Mailing Fax Number | 5183462436 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | DR. JOSEPH P FUSELLA (SITE MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5183463222 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | CAPITALCARE MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 174880 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
600 MCCLELLAN ST MSGR. KEANE PAVILLION |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072465 | Vincent J Luvera | Family Medicine | 600 Mcclellan St, St Claires Hospital Wound Care Center, Schenectady, NY 12304-1009 | 2005-09-08 |
| 1376159434 | Megan Ferguson | Physical Therapist | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-09-23 |
| 1043828890 | Flor De Maria Arnold | Nurse Practitioner | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-07-17 |
| 1932735396 | Joelle Lynne Malinowski | Dietitian, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-03-18 |
| 1104464809 | Alison Miller | Social Worker | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-12-13 |
| 1972077386 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-01-18 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1790299741 | Regina Donofrio | Respiratory Therapist, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-11-29 |
| 1528582509 | Hydee J Yonkers | Respiratory Therapist, Certified | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-08-01 |
| 1346761640 | Rahul Kallianpur | Student in an Organized Health Care Education/Training Program | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1356784839 | Nicole Tetreault | Family Medicine | 3757 Carman Rd Ste 100, Schenectady, NY 12303-5438 | 2013-04-15 |
| 1780919266 | John E Hargraves | Family Medicine | 3681 E Lydius St, Schenectady, NY 12303-3562 | 2009-10-16 |
| 1639205636 | Paul J Byron | Family Medicine | 500 Balltown Rd, Schenectady, NY 12304-2247 | 2007-02-26 |
| 1790830222 | Union Street Family Medicine, LLC | Family Medicine | 1325 Union St, Schenectady, NY 12308-3033 | 2007-01-24 |
| 1285724294 | Shahida Parveen Mirza | Family Medicine | 2125 River Rd Ste 202, Schenectady, NY 12309-1135 | 2006-10-13 |
| 1225051253 | Zofia Wanda Drzymalski | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2006-07-25 |
| 1770518722 | Siren Rasik Chudgar | Family Medicine | 976 Balltown Rd, Schenectady, NY 12309-6428 | 2006-07-11 |
| 1518932458 | Juanito Antonio Reyes | Family Medicine | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2006-02-22 |
| 1174598387 | Donna Tuttle | Family Medicine | 3040 Broadway, Schenectady, NY 12306-2102 | 2006-02-21 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
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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.