COMMUNITY CARE PHYSICIANS, PC (NPI# 1780956474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780956474 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | OB/GYN HEALTH CENTER ASSOCIATES |
| Practice Address |
5 Southside Dr Suite 204 Clifton Park NY 12065-3870 |
| Mailing Address |
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 |
| Practice Telephone | 5182740476 |
| Practice Fax Number | 5182740497 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5187823742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 231939 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OB/GYN Health Center Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025888 | Community Care Physicians, PC | Surgery | 2520 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2017-11-02 |
| 1255853065 | Community Care Physicians, PC | Family Medicine | 711 Troy Schenectady Rd Ste 109, Latham, NY 12110-2454 | 2017-07-13 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| 1285905786 | Community Care Physicians, PC | Internal Medicine | 199 Delaware Ave, Delmar, NY 12054-1229 | 2012-01-16 |
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1841573706 | Community Care Physicians, PC | Pediatrics | 942 A Route 146, Clifton Park, NY 12605-3614 | 2011-09-27 |
| 1104109065 | Community Care Physicians, PC | Internal Medicine | 2546 Balltown Road, Suite 200, Schenectady, NY 12309-1079 | 2011-09-27 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1093097586 | Community Care Physicians, PC | Family Medicine | 2524 Us Route 9w, Ravena, NY 12143-2804 | 2011-09-12 |
| 1659528966 | Community Care Physicians, PC | Radiology | 2546 Balltown Rd., Suite 100, Schenectady, NY 12309 | 2008-08-19 |
| Street Address |
5 SOUTHSIDE DR SUITE 204 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881013415 | Albany Medical College | Psychiatry & Neurology | 5 Southside Dr, Clifton Park, NY 12065-3870 | 2014-04-10 |
| 1760804108 | Autism Gears LLC | Behavioral Analyst | 5 Southside Dr, Suite 11, #125, Clifton Park, NY 12065-3870 | 2014-01-18 |
| 1346507365 | The Neurology Group, LLP | Psychiatry & Neurology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053378729 | Vincent Augustine Corcoran | Obstetrics & Gynecology | 855 Route 146 Ste 150, Clifton Park, NY 12065-3874 | 2006-04-27 |
| 1609874742 | Akiva D Abraham | Obstetrics & Gynecology | 950 Route 146, Suite 100, Clifton Park, NY 12065-3667 | 2005-07-12 |
| 1699772624 | William I Anyaegbunam | Obstetrics & Gynecology | 2 Emma Ln, Suite 202, Clifton Park, NY 12065-3763 | 2005-07-05 |
| 1609249416 | Seton Health System | Obstetrics & Gynecology | 855 Route 146, Suite 150, Clifton Park, NY 12065-3890 | 2015-11-03 |
| 1982009775 | Dina Gottesman | Obstetrics & Gynecology | 855 Route 146, Clifton Park, NY 12065-3885 | 2014-10-23 |
| 1073875340 | Carenet Medical Group, PC | Obstetrics & Gynecology | 2 Chelsea Pl, Clifton Park, NY 12065-3200 | 2012-06-13 |
| 1821080664 | Complete Women's Care of Clifton Park Pllc | Obstetrics & Gynecology | 2 Emma Ln, Suite 202, Clifton Park, NY 12065-3763 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.