FAXTON-ST LUKES HEALTHCARE (NPI# 1982790937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982790937 |
| Entity Type | Organization |
| Organization Name | FAXTON-ST LUKES HEALTHCARE |
| Practice Address |
201 E State St Herkimer NY 13350 |
| Mailing Address |
2209 Genesee St/ Business Office Room #315 Utica NY 13501-5809 |
| Practice Telephone | 3158235385 |
| Mailing Telephone | 3158013282 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | CODY WHITE (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 3158014429 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAXTON-ST. LUKE'S HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
3202003H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760991491 | Faxton-st Lukes Healthcare | Clinic/Center | 131 Main St Ste 101, Oneida, NY 13421 | 2017-09-26 |
| 1972123735 | Faxton-st Lukes Healthcare | Health Educator | 1676 Sunset Ave Fl 4, Utica, NY 13502-5416 | 2020-04-22 |
| 1679668800 | Faxton-st Lukes Healthcare | Psychiatric Unit | 1656 Champlin Ave, Utica, NY 13502 | 2006-10-04 |
| 1770690737 | Faxton-st Lukes Healthcare | Family Medicine | 4301 Middle Settlement Rd, New Hartford, NY 13413 | 2006-08-24 |
| Street Address |
201 E STATE ST |
| City | HERKIMER |
| State | NY |
| Zip Code | 13350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932182136 | Larry Gene Martinson | Physician Assistant | 201 E State St, Herkimer, NY 13350-2389 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817628 | Suzanne Marie Odom | Social Worker | 417 E German St., Herkimer, NY 13350 | 2019-12-09 |
| 1952800468 | Colby Enides | Social Worker | 2606 Genesee Street & 417 East German Street, Utica, NY 13350 | 2018-02-09 |
| 1316362023 | Jillian Marie Weeks | Social Worker | 301 N Washington Street, 2470, Herkimer, NY 13350 | 2014-03-04 |
| 1447574066 | Laurie Reynolds | Licensed Practical Nurse | 703 Middleville, Herkimer, NY 13350 | 2010-03-25 |
| 1548438294 | Karen Zhang | Pharmacist | 103 Albany Rd, Herkimer, NY 13350 | 2008-02-15 |
| 1750573937 | Superior Home Health Care | Home Health | 703 Middleville Rd, Herkimer, NY 13350 | 2007-08-13 |
| 1164635652 | Kristen Amy Ozog | Physical Therapist | 419 N. Main Street, Herkimer, NY 13350 | 2007-05-08 |
| 1639202476 | Chester Cieloszyk | Social Worker | 301 No. Washington St., Suite No. 2470, Herkimer, NY 13350 | 2007-03-13 |
| 1538219894 | Joseph J Martin | Physical Therapist | 3061 Route 28, Herkimer, NY 13350 | 2007-01-11 |
| 1619043528 | Stephen John Miklethun | Dentist | 338 East State Street, Suite A, Herkimer, NY 13350 | 2006-11-24 |
| Find all providers in zip 13350 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
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| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.