CANTON-POTSDAM HOSPITAL (NPI# 1740499821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740499821 |
| Entity Type | Organization |
| Organization Name | CANTON-POTSDAM HOSPITAL |
| Practice Address |
80 East Main St. Canton NY 13617 |
| Mailing Address |
470 Campbell Rd Edwards NY 13635-3188 |
| Practice Telephone | 3152615490 |
| Mailing Telephone | 3155628493 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DANIELLE RENEE WHEAT (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3152615490 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
015485-1 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568548782 | Canton-potsdam Hospital | General Acute Care Hospital | 50 Leroy Street, Potsdam, NY 13676 | 2006-10-31 |
| 1841621000 | Canton-potsdam Hospital | Anesthesiology | 50 Leroy St, Potsdam, NY 13676-1786 | 2013-12-12 |
| 1801229216 | Canton-potsdam Hospital | Emergency Medicine | 50 Leroy St, Potsdam, NY 13676-1786 | 2013-08-21 |
| 1114104445 | Canton-potsdam Hospital | Medicare Defined Swing Bed Unit | 50 Leroy Street, Potsdam, NY 13676 | 2008-01-29 |
| 1982813176 | Canton-potsdam Hospital | General Acute Care Hospital | 80 E Main St, Canton, NY 13617-1450 | 2007-05-22 |
| Street Address |
80 EAST MAIN ST. |
| City | CANTON |
| State | NY |
| Zip Code | 13617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151001 | Mother and Baby Wellness Collective, LLC | Clinic/Center | 136 Millstone Way, Canton, GA 30115-7270 | 2020-07-20 |
| 1053882399 | Wimal Jayakody | Clinic/Center | 1259 Aziz Dr, Canton, MI 48188-5092 | 2018-12-16 |
| 1750850129 | Jigarkumar Ashokkumar Patel | Clinic/Center | 150 W Canford Park, Canton, MI 48187-6672 | 2018-11-15 |
| 1699008813 | Pace Rehab Inc | Clinic/Center | 46576 Inverness Rd, Canton, MI 48188-3050 | 2009-09-08 |
| 1578797445 | Bethany's Equine and Aquatic Therapy Services, Inc | Clinic/Center | 75 Red Gate Terrace, Canton, GA 30115 | 2009-05-07 |
| 1942353545 | Sports and Orthopedic Physical Therapy, Inc. | Clinic/Center | 343 Neponset St, Canton, MA 02021-1997 | 2007-01-19 |
| 1437242468 | United Helpers Canton Nursing Home, Inc | Clinic/Center | 205 State Street Rd, Canton, NY 13617-3302 | 2006-10-02 |
| 1801841374 | Canton Institute for Physical Therapy, LLC | Clinic/Center | 147 Reinhardt College Parkway, Suite 9, Canton, GA 30114-0520 | 2006-05-23 |
| 1184615148 | Northeast Professional Home Care, Inc. | Clinic/Center | 4580 Stephen Cir Nw Ste 301, Canton, OH 44718-3646 | 2005-10-31 |
| 1316448301 | Andrew Asztalos | Clinic/Center | 609 Neponset St, Canton, MA 02021-1981 | 2018-02-24 |
| Find all providers in CANTON | ||||
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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.