TIMOTHY GERARD BOARD


Address: 454 Maple Ave, Saratoga Springs, NY 12866-5532
Phone: 5185871141

TIMOTHY GERARD BOARD (NPI# 1699796078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699796078
Entity Type Individual
Full Name TIMOTHY GERARD BOARD
Credential PA
Practice Address 454 Maple Ave
Saratoga Springs
NY 12866-5532
Mailing Address 211 Church St
Saratoga Springs
NY 12866-1003
Practice Telephone 5185871141
Practice Fax Number 5185871152
Mailing Telephone 5185871141
Mailing Fax Number 5185871152
Enumeration Date 2006-07-21
Last Update Date 2012-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
004631 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY BLUE SHIELD 000405957003 01
NY MVP 709221 01
NY RAILROAD MEDICARE 970016493 01
NY FIDELIS CARE 050510000097 01

Office Location

Street Address 454 MAPLE AVE
City SARATOGA SPRINGS
State NY
Zip Code 12866-5532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366481491 Paul R Dittes Emergency Medicine 454 Maple Ave, Saratoga Springs, NY 12866 2006-06-05
1306204870 Nana Akuoko Physician Assistant 454 Maple Ave, Saratoga Springs, NY 12866-5532 2016-01-29
1780876045 Laura Jacobs Physician Assistant 454 Maple Ave, Saratoga Springs, NY 12866-5532 2007-08-10
1720112212 Byrne Orthodontics, Pllc Dentist 454 Maple Ave, Saratoga Springs, NY 12866-5532 2007-03-15
1508991704 Jocelyn Rebecca Mcdonald Physician Assistant 454 Maple Ave, Saratoga Springs, NY 12866-5532 2007-02-21
1285728147 Brian P Byrne Dentist 454 Maple Ave, Saratoga Springs, NY 12866-5532 2006-10-03
1346334299 James J Byrne Dentist 454 Maple Ave, Saratoga Springs, NY 12866-5532 2006-10-03
1366549883 Bryan Curley Physician Assistant 454 Maple Ave, Saratoga Springs, NY 12866-5532 2006-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286247 Rebecca Schiller Occupational Therapy Assistant 121 Lawrence St, Saratoga Springs, NY 12866 2020-08-17
1417597113 Valerie June Andrascik Physical Therapy Assistant Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 2020-01-10
1790262749 Sarah Leclerc Psychologist 1 Kempton Place, Saratoga Springs, NY 12866 2018-07-23
1386165454 Kristina James Speech-Language Pathologist 88 Monroe St, Saratoga Springs, NY 12866 2017-06-29
1255799243 Mary E Mccue Dietitian, Registered 683 Lake Ave, Saratoga Springs, NY 12866 2016-02-04
1982062261 St. Peter's Health Partners Medical Associates, PC Family Medicine 377 Church Street, Saratoga, NY 12866 2016-02-02
1811353238 Kristin Elizabeth Symmes Registered Nurse 135 South Broadway, Saratoga Springs, NY 12866 2016-01-14
1053707752 Kaitlyn Lewis Social Worker 60 Geyser Road, Saratoga Springs, NY 12866 2015-04-09
1609264746 Jessica Rose Leslie Counselor 79 Ash Street, Saratoga Springs, NY 12866 2014-12-23
1770990251 Ranjit Bhagwat Psychologist 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 2014-07-17
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295774032 Christopher J Evans Physician Assistant 381 Church St, Saratoga Springs, NY 12866-8626 2006-06-06
1346873312 Matthew Paparella Physician Assistant 5 Care Ln, Saratoga Springs, NY 12866-8623 2020-02-19
1720630072 Jenelle M Powell Physician Assistant 5 Care Ln, Saratoga Springs, NY 12866-8623 2019-07-16
1225284649 Allison T Schoonmaker Physician Assistant 5 Care Ln, Saratoga Springs, NY 12866-8623 2008-08-18
1699714535 Carolyn H Shafer Physician Assistant 5 Care Lane, Saratoga Springs, NY 12866 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205434727 Julia Loren Bartsch Physician Assistant 11791 Genesee St, Alden, NY 14004-9713 2020-10-16
1295347078 Alana Janine Miller Physician Assistant 1060 5th Ave # 1b, New York, NY 10128-0104 2020-08-21
1336768647 Abul Sarker Physician Assistant 2 Sagamore Ave, Suffern, NY 10901-7412 2020-04-16
1689200412 Margaret Ann Sullivan Physician Assistant 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 2020-03-12
1376177527 Anabell Marina Lopez Plaza Physician Assistant 12 Berrywood Ct, Bay Shore, NY 11706-2058 2020-02-26
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
1992348775 Nafiur Rahman Chowdhury Physician Assistant 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 2019-10-23
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1578114377 Matthew Newmark Eisenstein Physician Assistant 3260 43rd St Apt 2r, Astoria, NY 11103-2745 2019-09-23
Find all providers with the same taxonomy

Competitor

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City SARATOGA SPRINGS
Zip Code 12866

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Dataset Information

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.

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