DR. JOHN E HARGRAVES (NPI# 1780919266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780919266 |
| Entity Type | Individual |
| Full Name | DR. JOHN E HARGRAVES |
| Credential | M.D. |
| Practice Address |
3681 E Lydius St Schenectady NY 12303-3562 |
| Practice Telephone | 5189285708 |
| Practice Fax Number | 8882257586 |
| Mailing Telephone | 5189285708 |
| Mailing Fax Number | 8882257586 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2015-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 142517 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 142517 | NY | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
142517 | NY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 142517 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3681 E LYDIUS ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1356784839 | Nicole Tetreault | Family Medicine | 3757 Carman Rd Ste 100, Schenectady, NY 12303-5438 | 2013-04-15 |
| 1639205636 | Paul J Byron | Family Medicine | 500 Balltown Rd, Schenectady, NY 12304-2247 | 2007-02-26 |
| 1790830222 | Union Street Family Medicine, LLC | Family Medicine | 1325 Union St, Schenectady, NY 12308-3033 | 2007-01-24 |
| 1285724294 | Shahida Parveen Mirza | Family Medicine | 2125 River Rd Ste 202, Schenectady, NY 12309-1135 | 2006-10-13 |
| 1225051253 | Zofia Wanda Drzymalski | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2006-07-25 |
| 1770518722 | Siren Rasik Chudgar | Family Medicine | 976 Balltown Rd, Schenectady, NY 12309-6428 | 2006-07-11 |
| 1518932458 | Juanito Antonio Reyes | Family Medicine | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2006-02-22 |
| 1174598387 | Donna Tuttle | Family Medicine | 3040 Broadway, Schenectady, NY 12306-2102 | 2006-02-21 |
| 1780658658 | David N Hornick | Family Medicine | 16 Crimson Oak Ct, Schenectady, NY 12309-2234 | 2006-02-15 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
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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.