DR. BRADY WILLIAM PATENAUDE (NPI# 1740296938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740296938 |
Entity Type | Individual |
Full Name | DR. BRADY WILLIAM PATENAUDE |
Credential | DC |
Practice Address |
781 Hudson Ave. Suite 2 Stillwater NY 12170-0427 |
Mailing Address |
Po Box 427 Stillwater NY 12170-0427 |
Practice Telephone | 5186644525 |
Practice Fax Number | 5186641256 |
Mailing Telephone | 5186644525 |
Mailing Fax Number | 5186641256 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-08-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 011152 | NY | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | LANDMARK HEALTHCARE | 204061411 | 01 |
NY | MVP HEALTH PLAN | NY11152 | 01 |
NY | WORKERS' COMPENSATION | C11152-8B | 01 |
NY | CDPHP | 10108516 | 01 |
NY | ASHN | 1065577 | 01 |
NY | PRISM HEALTH NETWORK | 20406141102 | 01 |
NY | BLUE CROSS/BLUE SHIELD | X08P21 | 01 |
Street Address |
781 HUDSON AVE. SUITE 2 |
City | STILLWATER |
State | NY |
Zip Code | 12170-0427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306369541 | Kim Rist Consulting, Inc | Specialist | 1018 Hudson Avenue, Stillwater, NY 12170 | 2017-07-19 |
1558384511 | Jessica A Davis | Family Medicine | 781 Hudson Avenue, Suite 2, Stillwater, NY 12170 | 2006-07-25 |
1720013329 | Stillwater Ambulance Fund Inc | Ambulance | 283 N Hudson Ave, Stillwater, NY 12170 | 2006-07-11 |
1225271166 | Meliora Family Medicine Pllc | Clinic/Center | 172 Hudson Ave, Stillwater, NY 12170 | 2009-04-08 |
1114064516 | Patenaude Chiropractic LLP | Chiropractor | 781 Hudson Ave, Stillwater, NY 12170-0427 | 2007-02-01 |
1366465593 | Kelli Leigh Patenaude | Chiropractor | 172 Hudson Ave., Stillwater, NY 12170-0427 | 2006-07-26 |
1467805630 | Katrina Koren | Counselor | 2a Gurba Dr, Stillwater, NY 12170-1213 | 2016-07-22 |
1043366438 | Stillwater Central School District | Local Education Agency (LEA) | 334 Hudson Ave, Stillwater, NY 12170-1301 | 2007-01-26 |
1962709154 | Emma J Bell | Pharmacist | 68 Blizzard Rd, Stillwater, NY 12170-1412 | 2011-02-24 |
1730335639 | Taryn Kaye Putney | Speech-Language Pathologist | 50 Stratton Ln, Stillwater, NY 12170-1502 | 2008-08-11 |
Find all providers in zip 12170 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720608367 | Chiropatrick | Chiropractor | 1826 Northwestern Ave S, Stillwater, MN 55082-7533 | 2020-04-23 |
1083244180 | Adrian Barker | Chiropractor | 4721 W 6th Ave Ste 120, Stillwater, OK 74074-1549 | 2020-01-17 |
1891279725 | Anna Lynn Anderson | Chiropractor | 102 2nd St N Ste 200, Stillwater, MN 55082-5003 | 2018-09-17 |
1851870513 | Monica Joy Veil | Chiropractor | 102 2nd St S Ste 200, Stillwater, MN 55082-5109 | 2018-08-13 |
1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
1851838064 | Travis Lee Klug | Chiropractor | 1060 Curve Crest Blvd W Ste 102, Stillwater, MN 55082-6058 | 2017-01-25 |
1376095984 | Chase Brendan O'keefe | Chiropractor | 1060 Curve Crest Blvd W, Stillwater, MN 55082-5093 | 2016-10-30 |
1851750186 | Timothy Rowh | Chiropractor | 1212 Sterling Way, Stillwater, MN 55082-4669 | 2016-02-15 |
1841618246 | Advanced Chiropractic & Wellness, Pllc | Chiropractor | 1405 W 12th Ave, Stillwater, OK 74074-5425 | 2014-04-02 |
1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
Find all providers in STILLWATER |
City | STILLWATER |
Zip Code | 12170 |
Please comment or provide details below to improve the information on DR. BRADY WILLIAM PATENAUDE.
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.