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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE SHIELD | 000405957003 | 01 |
| NY | MVP | 709221 | 01 |
| NY | RAILROAD MEDICARE | 970016493 | 01 |
| NY | FIDELIS CARE | 050510000097 | 01 |
| Street Address |
454 MAPLE AVE |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866-5532 |
| 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 |
| 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 |
| Find all providers in zip 12866 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| 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 |
| 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 | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
Please comment or provide details below to improve the information on TIMOTHY GERARD BOARD.
| 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.