SAMARITAN HOSPITAL OF TROY, NEW YORK (NPI# 1912480971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912480971 |
| Entity Type | Organization |
| Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Other Organization Name | STILLWATER FAMILY HEALTH CENTER |
| Practice Address |
1111 Hudson Avenue Stillwater NY 12170-3439 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5186643242 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Stillwater Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1780168740 | Samaritan Hospital of Troy, New York | Family Medicine | 2 Empire Drive, Suite 100, Rensselaer, NY 12144-5730 | 2018-09-17 |
| 1770067738 | Samaritan Hospital of Troy, New York | Clinic/Center | 147 Hoosick St Ste E, Troy, NY 12180-2393 | 2018-09-17 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1790120368 | Samaritan Hospital of Troy, New York | Nutritionist | 158 Saratoga Avenue, Waterford, NY 12188-2205 | 2013-05-08 |
| 1265086789 | Samaritan Hospital of Troy, New York | Family Medicine | 63 Shaker Road, Suite G02, Albany, NY 12204 | 2019-08-01 |
| 1457812877 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, St. Peter's Family Medicine, Clifton Park, NY 12065 | 2019-03-28 |
| 1134603194 | Samaritan Hospital of Troy, New York | Internal Medicine | 1401 Massachusetts Avenue, Troy, NY 12180-1621 | 2018-09-17 |
| 1124502182 | Samaritan Hospital of Troy, New York | Midwife | 2 Empire Drive, Suite 101, Rensselaer, NY 12144-5730 | 2018-09-17 |
| 1598249559 | Samaritan Hospital of Troy, New York | Internal Medicine | 147 Hoosick Street, Suite K, Troy, NY 12180-2393 | 2018-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL OF TROY, NEW YORK | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Street Address |
1111 HUDSON AVENUE |
| City | STILLWATER |
| State | NY |
| Zip Code | 12170-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306369541 | Kim Rist Consulting, Inc | Specialist | 1018 Hudson Avenue, Stillwater, NY 12170 | 2017-07-19 |
| 1558384511 | Jessica A Davis | Family Medicine | 781 Hudson Avenue, Suite 2, Stillwater, NY 12170 | 2006-07-25 |
| 1720013329 | Stillwater Ambulance Fund Inc | Ambulance | 283 N Hudson Ave, Stillwater, NY 12170 | 2006-07-11 |
| 1225271166 | Meliora Family Medicine Pllc | Clinic/Center | 172 Hudson Ave, Stillwater, NY 12170 | 2009-04-08 |
| 1114064516 | Patenaude Chiropractic LLP | Chiropractor | 781 Hudson Ave, Stillwater, NY 12170-0427 | 2007-02-01 |
| 1740296938 | Brady William Patenaude | Chiropractor | 781 Hudson Ave., Suite 2, Stillwater, NY 12170-0427 | 2006-07-31 |
| 1366465593 | Kelli Leigh Patenaude | Chiropractor | 172 Hudson Ave., Stillwater, NY 12170-0427 | 2006-07-26 |
| 1467805630 | Katrina Koren | Counselor | 2a Gurba Dr, Stillwater, NY 12170-1213 | 2016-07-22 |
| 1043366438 | Stillwater Central School District | Local Education Agency (LEA) | 334 Hudson Ave, Stillwater, NY 12170-1301 | 2007-01-26 |
| 1962709154 | Emma J Bell | Pharmacist | 68 Blizzard Rd, Stillwater, NY 12170-1412 | 2011-02-24 |
| Find all providers in zip 12170 | ||||
| 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 |
|---|---|---|---|---|
| 1336657022 | Brandi Watts | Family Medicine | 1523 W 9th Ave, Stillwater, OK 74074-5469 | 2018-01-16 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1003149139 | Oca Stillwater Lp | Family Medicine | 275 S Perkins Rd, Stillwater, OK 74074-3665 | 2009-09-08 |
| 1184871295 | Jon Stratte | Family Medicine | 114 Lakeside Dr, Stillwater, MN 55082-4238 | 2008-08-20 |
| 1215125489 | Paul Vincent Quinn | Family Medicine | 9991 Arcola Ct N, Stillwater, MN 55082-9523 | 2007-10-11 |
| 1972527422 | Andrew D Maas | Family Medicine | 270 Main N St 300, Stillwater, MN 55082-6788 | 2006-07-27 |
| 1558384511 | Jessica A Davis | Family Medicine | 781 Hudson Avenue, Suite 2, Stillwater, NY 12170 | 2006-07-25 |
| 1275566358 | Wesley Andrews | Family Medicine | O S U Student Health Service, 1202 W. Farm Road, Stillwater, OK 74078-2036 | 2006-07-09 |
| 1114967288 | Kenneth Evans | Family Medicine | 8821 W 6th Ave, Stillwater, OK 74074-1094 | 2006-06-07 |
| 1952362071 | Jennifer Lynn Landers | Family Medicine | 2900 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2006-03-29 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 12170 |
Please comment or provide details below to improve the information on SAMARITAN HOSPITAL OF TROY, NEW YORK.
| 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.