SAMARITAN HOSPITAL OF TROY, NEW YORK (NPI# 1639653694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639653694 |
| Entity Type | Organization |
| Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Other Organization Name | TROY PEDIATRIC HEALTH CENTER |
| Practice Address |
2215 Burdett Avenue 2nd Floor Troy NY 12180-2466 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5182727614 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Peter's Pediatrics at Burdett Birth Center | Doing Business As Name - Organization |
| Troy Pediatric Health Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Federal Street, Suite 602, Troy, NY 121802832 | 5182727614 | |
| 500 Federal St Ste 602, Troy, NY 121802832 | 5182727614 | |
| 1 Tallow Wood Dr, Clifton Park, NY 120652807 | 5186880295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1780168740 | Samaritan Hospital of Troy, New York | Family Medicine | 2 Empire Drive, Suite 100, Rensselaer, NY 12144-5730 | 2018-09-17 |
| 1770067738 | Samaritan Hospital of Troy, New York | Clinic/Center | 147 Hoosick St Ste E, Troy, NY 12180-2393 | 2018-09-17 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1912480971 | Samaritan Hospital of Troy, New York | Family Medicine | 1111 Hudson Avenue, Stillwater, NY 12170-3439 | 2018-09-14 |
| 1790120368 | Samaritan Hospital of Troy, New York | Nutritionist | 158 Saratoga Avenue, Waterford, NY 12188-2205 | 2013-05-08 |
| 1265086789 | Samaritan Hospital of Troy, New York | Family Medicine | 63 Shaker Road, Suite G02, Albany, NY 12204 | 2019-08-01 |
| 1457812877 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, St. Peter's Family Medicine, Clifton Park, NY 12065 | 2019-03-28 |
| 1134603194 | Samaritan Hospital of Troy, New York | Internal Medicine | 1401 Massachusetts Avenue, Troy, NY 12180-1621 | 2018-09-17 |
| 1124502182 | Samaritan Hospital of Troy, New York | Midwife | 2 Empire Drive, Suite 101, Rensselaer, NY 12144-5730 | 2018-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL OF TROY, NEW YORK | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Street Address |
2215 BURDETT AVENUE 2ND FLOOR |
| City | TROY |
| State | NY |
| Zip Code | 12180-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451021 | Michael T Phelan | Nurse Anesthetist, Certified Registered | 2215 Burdett Avenue, Samaritan Hospital, Troy, NY 12180 | 2005-07-18 |
| 1255817334 | St. Peter's Health Partners Medical Associates, P.C. | Radiology | 2215 Burdett Avenue, Samaritan Hospital Imaging, Troy, NY 12180-2466 | 2018-07-12 |
| 1245739143 | Alyce Newman | Social Worker | 2215 Burdett Avenue, 2nd Floor South Mental Health Outpatient, Troy, NY 12180 | 2018-02-06 |
| 1538606181 | Samaritan Hospital of Troy, New York | Family Medicine | 2215 Burdett Avenue, Troy, NY 12180-2466 | 2017-01-20 |
| 1881018737 | Sphpma Cancer Treatment Center | Internal Medicine | 2215 Burdett Avenue, Troy, NY 12180-2466 | 2014-02-13 |
| 1295037794 | Jillian Marie Kucskar | Counselor | 2215 Burdett Avenue, Behavioral Health Services, Troy, NY 12180 | 2010-12-03 |
| 1790090439 | Rafia Ishfaq Chaudhry | Internal Medicine | 2215 Burdett Avenue, Troy, NY 12180 | 2010-08-17 |
| 1043315856 | Michael T Slezak | Nurse Anesthetist, Certified Registered | 2215 Burdett Avenue, Samaritan Hospital, Troy, NY 12180 | 2006-09-14 |
| 1881799682 | John Becker | Nurse Anesthetist, Certified Registered | 2215 Burdett Avenue, Samaritan Hospital, Troy, NY 12180 | 2006-09-14 |
| 1649218686 | Troy Anesthesiologists, PC | Anesthesiology | 2215 Burdett Avenue, Samaritan Hospital, Troy, NY 12180 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1982854840 | Sachin K Shah | Pediatrics | 1007 Alameda Blvd, Troy, MI 48085-6736 | 2008-09-26 |
| 1962665869 | Jonathan Lauter | Pediatrics | 1800 W Big Beaver Rd Ste 200, Troy, MI 48084-3545 | 2008-07-10 |
| 1104086461 | Elizabeth N Dawson | Pediatrics | 1300 United States Highway 231 South, Troy, AL 36081 | 2008-06-11 |
| 1902087380 | Christina Zanakis-tempelis | Pediatrics | 111 Scouting Circle, Troy, AL 36081 | 2007-11-14 |
| 1932288552 | Annamalai Muthiah | Pediatrics | 195 5th Avenue, Troy, NY 12180 | 2006-11-03 |
| 1356440572 | Center for Pediatric & Adolescent Medicine | Pediatrics | 2100 W Big Beaver, Ste 110, Troy, MI 48084 | 2006-09-22 |
| 1194824805 | Norma Iringan Pattugalan | Pediatrics | 1405 Stonycreek Rd, Troy, OH 45373 | 2006-09-21 |
| 1174591549 | Majda A Hannish | Pediatrics | 2100 W Big Beaver Rd, Ste 110, Troy, MI 48084 | 2006-03-10 |
| 1316922271 | Mary D Oshea | Pediatrics | 3270 W Big Beaver Rd, Suite 400, Troy, MI 48084-2901 | 2005-12-13 |
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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.