ADIRONDACK MEDICAL CENTER (NPI# 1821609215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821609215 |
| Entity Type | Organization |
| Organization Name | ADIRONDACK MEDICAL CENTER |
| Practice Address |
2233 State Route 86 National Diabetes Prevention Program Saranac Lake NY 12983 |
| Mailing Address |
Po Box 1380 Saranac Lake NY 12983-7380 |
| Practice Telephone | 5188972724 |
| Mailing Telephone | 5188972479 |
| Mailing Fax Number | 5188972530 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | JO ANNE BRUCE (MEDICAL STAFF COORDINATOR) |
| Authorized Official Telephone | 5188972479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679698872 | Adirondack Medical Center | General Acute Care Hospital | 47 Park St, Suite #1, Tupper Lake, NY 12986-1616 | 2007-03-20 |
| 1780694059 | Adirondack Medical Center | Skilled Nursing Facility | 114 Wawbeek Ave, Tupper Lake, NY 12986-2038 | 2006-08-09 |
| 1487183174 | Adirondack Medical Center | Internal Medicine | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2017-06-07 |
| 1851601108 | Adirondack Medical Center | General Acute Care Hospital | 285 County Route 47, Wound & Hyperbaric Treatment Center, Saranac Lake, NY 12983-5403 | 2010-10-20 |
| 1356656045 | Adirondack Medical Center | Clinic/Center | 114 Wawbeek Ave, Tupper Lake, NY 12986-2038 | 2010-08-18 |
| 1245446533 | Adirondack Medical Center | Nurse Practitioner | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-05-15 |
| 1730217613 | Adirondack Medical Center | General Acute Care Hospital | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-03-01 |
| 1922135367 | Adirondack Medical Center | General Acute Care Hospital | 2233 State Route 86, Renal Dialysis Center, Saranac Lake, NY 12983-5644 | 2007-02-27 |
| 1831226273 | Adirondack Medical Center | Psychiatric Unit | 2233 State Route 86, Colby Center, Saranac Lake, NY 12983-5644 | 2007-02-27 |
| 1740317189 | Adirondack Medical Center | Medicare Defined Swing Bed Unit | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADIRONDACK MEDICAL CENTER | Po Box 471, Saranac Lake, Ny 129830471 |
| New York State Corporations | ADIRONDACK MEDICAL CENTER FOUNDATION | Attention: Development Office, Lake Colby Drive, Saranac Lake, Ny 12983 |
| Street Address |
2233 STATE ROUTE 86 NATIONAL DIABETES PREVENTION PROGRAM |
| City | SARANAC LAKE |
| State | NY |
| Zip Code | 12983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803735 | Richard P Handler | Internal Medicine | 2233 State Route 86, Rheumatology Suite 2, Saranac Lake, NY 12983-5644 | 2005-09-27 |
| 1023639028 | Lara Niles | Nurse Practitioner | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2020-04-30 |
| 1609414929 | Kristina F Hybicki | Social Worker | 2233 State Route 86, Bariatrics Center, Saranac Lake, NY 12983 | 2019-12-17 |
| 1023651304 | Jessica Lynn Novak | Registered Nurse | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2019-10-19 |
| 1609434679 | Nathan A Smith | Physician Assistant | 2233 State Route 86, Emergency Department, Saranac Lake, NY 12983 | 2019-06-04 |
| 1760907778 | Emily Gedney | Physician Assistant | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2017-08-10 |
| 1487183174 | Adirondack Medical Center | Internal Medicine | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2017-06-07 |
| 1003359001 | Joni Kristina Gerken | Dietitian, Registered | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2016-11-22 |
| 1841732765 | Adirondack Health Regional Medical, P.C. | Family Medicine | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2016-11-09 |
| 1215348289 | Marc A Johnson | Social Worker | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013486315 | Aisha Dominique Wood | Physical Therapist | 2233 Ny-86, Saranac Lake, NY 12983 | 2018-11-15 |
| 1215357132 | Ashley Garwood | Occupational Therapist | 38 Tahoma Road, Saranac Lake, NY 12983 | 2014-04-17 |
| 1841537982 | Dean Everritt | Social Worker | 33 Depot St., Saranac Lake, NY 12983 | 2013-01-09 |
| 1265797013 | Danielle Carr | Counselor | 28 Bernard Street, Saranac Lake, NY 12983 | 2012-07-09 |
| 1275807489 | Deborah Ann Stevens | Licensed Practical Nurse | 157 Bloomingdale Ave Apt 3, Saranac Lake, NY 12983 | 2012-03-06 |
| 1699085910 | Jessica Evans Jakobe | Speech-Language Pathologist | 141 Petrova Ave, Petrova Elementary, Saranac Lake, NY 12983 | 2010-10-20 |
| 1548407562 | Eve M Burns | Obstetrics & Gynecology | 309 County Route 47 Ste 2, Saranac Lake, NY 12983 | 2009-01-13 |
| 1174735492 | Citizen Advocates Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 Shepard Ave Apt. 1, Saranac Lake, NY 12983 | 2007-05-07 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1467536797 | Clifford Gerard Wagner | Chiropractor | 53 Woodruff Street, Saranac Lake, NY 12983 | 2006-10-24 |
| Find all providers in zip 12983 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427210 | Erica Bailey | Health Educator | 10 Clawson St Fl 1, Staten Island, NY 10306-3304 | 2020-11-04 |
| 1154920932 | Yelena Maur | Health Educator | 130 Whitman Ave, Staten Island, NY 10308-3407 | 2020-10-22 |
| 1578162665 | Celeste Pinkston | Health Educator | 2415 Newkirk Ave Apt 3j, Brooklyn, NY 11226-7633 | 2020-10-20 |
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1508476607 | Ww Health Solutions, Inc. | Health Educator | 675 Avenue of The Americas, New York, NY 10010-5100 | 2020-08-04 |
| 1235748732 | Rivel Lozada | Health Educator | 435 Fort Washington Ave Apt 2b, New York, NY 10033-3527 | 2020-07-30 |
| 1790303188 | Desrene James | Health Educator | 1623 Utica Ave, Brooklyn, NY 11234-1524 | 2020-07-11 |
| 1801412309 | Sharifa H Grant | Health Educator | 13 Brewster Ct, Washingtonville, NY 10992-1022 | 2020-06-19 |
| 1215563523 | Julissa Reynoso | Health Educator | 247 W 37th St Fl 9, New York, NY 10018-5193 | 2020-03-18 |
| 1780219444 | Shani A Faure | Health Educator | 11620 168th St, Jamaica, NY 11434-1730 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | SARANAC LAKE |
| Zip Code | 12983 |
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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.