DR. MARENA EUASHACHAI (NPI# 1841584489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841584489 |
| Entity Type | Individual |
| Full Name | DR. MARENA EUASHACHAI |
| Credential | DO |
| Practice Address |
13 Palmer Ave Evergreen Health Center Corinth NY 12822-1145 |
| Mailing Address |
100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801 |
| Practice Telephone | 5186546499 |
| Practice Fax Number | 5186547303 |
| Mailing Telephone | 5189265924 |
| Mailing Fax Number | 5189266983 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | A271644 | Other Service Providers | |
| Y | 207Q00000X | Family Medicine | 271644 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04060555 | 05 |
| Street Address |
13 PALMER AVE EVERGREEN HEALTH CENTER |
| City | CORINTH |
| State | NY |
| Zip Code | 12822-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504385 | Amy Johnson | Physician Assistant | 13 Palmer Ave, Corinth, NY 12822-1145 | 2005-11-07 |
| 1205340940 | Annie Wu | Physical Therapist | 13 Palmer Ave, Corinth, NY 12822-1145 | 2017-11-16 |
| 1770830291 | Glens Falls Hospital Inc | Family Medicine | 13 Palmer Ave, Evergreen Health Center, Corinth, NY 12822-1145 | 2012-08-15 |
| 1619982436 | Pamela Lusignan | Nurse Practitioner | 13 Palmer Ave, Evergreen Health Center, Corinth, NY 12822-1145 | 2006-07-30 |
| 1609810043 | Mark D. Hanson | Physician Assistant | 13 Palmer Ave, Corinth, NY 12822-1145 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912350786 | Jennifer Anne Crave | Counselor | 105 Oak Street, Corinth, NY 12822 | 2016-07-18 |
| 1356460257 | Michael Edward Nolan | Dentist | 15 Sherman Ave, Corinth, NY 12822 | 2007-03-29 |
| 1811041155 | Ceferino Reyes Villa Fuerte Jr. | General Practice | 200 Smith Drive, Adirondack Clinic, Corinth, NY 12822 | 2007-01-23 |
| 1528178381 | William Jonathan Green | Dentist | 214 Center Street, Corinth, NY 12822 | 2006-08-30 |
| 1194795914 | Corinth Emergency Squad Inc | Ambulance | 101 Sherman Ave, Corinth, NY 12822 | 2006-01-24 |
| 1053880906 | Nys Opwdd | Registered Nurse | 200 Smith Drive, Corinth, NY 12822 | 2018-11-21 |
| 1760812564 | Meyer, Malin and Associates Pllc | Family Medicine | 101 Main Street, Corinth, NY 12822 | 2013-11-15 |
| 1760022685 | Wendy Lee Russell | Massage Therapist | 92 Main St, Corinth, NY 12822-1009 | 2020-01-08 |
| 1457662777 | Arthur J Heller | Eyewear Supplier (Equipment, not the service) | 92 Main St, Corinth, NY 12822-1009 | 2010-07-01 |
| 1275880650 | Michael Nolan Dds | Dentist | 15 Sherman Ave, Corinth, NY 12822-1017 | 2012-08-06 |
| Find all providers in zip 12822 | ||||
| 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 |
|---|---|---|---|---|
| 1821257767 | Magnolia Medical Clinic | Family Medicine | 502 Alcorn Drive, Corinth, MS 38834-9323 | 2008-06-05 |
| 1992885933 | Richard Walker Pitkin | Family Medicine | 214 Center St, Corinth, NY 12822-1159 | 2006-10-16 |
| 1275645145 | Jacci Gayle Walden | Family Medicine | 3504 Corinth Parkway, Suite 150, Corinth, TX 76208 | 2006-08-31 |
| 1689680431 | Carl C Welch, Md, Pa | Family Medicine | 502 Alcorn Dr, Corinth, MS 38834-9392 | 2006-08-01 |
| 1790709079 | George Leonard Cain Jr. | Family Medicine | 506 Alcorn Dr, Corinth, MS 38834-9392 | 2006-07-27 |
| 1124041132 | Corinth Family Care Center PC | Family Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 | 2006-07-25 |
| 1306869375 | Erica Lynn Noyes | Family Medicine | 2000 Shiloh Road, Corinth, MS 38834-2909 | 2006-07-25 |
| 1568482024 | Thomas Laney Sweat | Family Medicine | 2008 Robertson St, Corinth, MS 38834-3720 | 2006-07-20 |
| 1831141399 | William L Marcy | Family Medicine | 303 N Madison St, Corinth, MS 38834-5072 | 2006-05-16 |
| 1104899129 | Alphonsus Ligouri Flannery | Family Medicine | 703 Alcorn Dr, Corinth, MS 38834-9302 | 2006-02-09 |
| Find all providers in CORINTH | ||||
Please comment or provide details below to improve the information on DR. MARENA EUASHACHAI.
| 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.