PETER MANDWELLE (NPI# 1992723290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992723290 |
| Entity Type | Individual |
| Full Name | PETER MANDWELLE |
| Credential | CRNA |
| Practice Address |
2 Broad Street Plz Glens Falls NY 12801-4363 |
| Mailing Address |
219 Ridge St Glens Falls NY 12801-3127 |
| Practice Telephone | 5187930519 |
| Mailing Telephone | 5187927571 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 395699 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 BROAD STREET PLZ |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214503 | Thomas Kandora | Internal Medicine | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2005-08-31 |
| 1376891317 | Glens Falls Hospital Inc | Internal Medicine | 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4789 | 2012-08-23 |
| 1518215565 | Glens Falls Hospital Inc | Otolaryngology | 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801-4363 | 2012-08-23 |
| 1144508144 | Elizabeth Hutchins | Nurse Practitioner | 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4363 | 2011-07-26 |
| 1255636239 | Catherine Reichen | Physical Therapist | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2011-01-21 |
| 1174828636 | Robert J Collette | Physical Therapist | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2011-01-14 |
| 1407151996 | Laura A Rhodes | Physical Therapist | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2011-01-14 |
| 1669675203 | Raju Sadal | Physician Assistant | 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4363 | 2007-06-11 |
| 1417001025 | Sean Michael Kennedy | Otolaryngology | 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801-4363 | 2007-01-22 |
| 1972680288 | Mark H Weidner | Internal Medicine | 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4363 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722274 | Kathryn Whitten | Nurse Anesthetist, Certified Registered | 2 Broad Street Plz Fl 3, Glens Falls, NY 12801-4369 | 2015-10-20 |
| 1710457866 | Kenneth Frank Dagles | Nurse Anesthetist, Certified Registered | 100 Park St, Glens Falls, NY 12801-4447 | 2018-12-03 |
| 1598209272 | Katherine Carpenter | Nurse Anesthetist, Certified Registered | 100 Park St, Glens Falls, NY 12801-4413 | 2016-12-14 |
| 1598136004 | Matthew Mulson | Nurse Anesthetist, Certified Registered | 100 Park St, Glens Falls Hospital, Glens Falls, NY 12801-4413 | 2015-10-09 |
| 1477794998 | Dennis Isecke | Nurse Anesthetist, Certified Registered | 100 Park St, Glens Falls, NY 12801-4413 | 2009-03-12 |
| 1114087830 | Todd Huber | Nurse Anesthetist, Certified Registered | 100 Park St, Anesthesia Dept., Glens Falls, NY 12801-4413 | 2006-12-11 |
| 1225045040 | Daniel Driscoll | Nurse Anesthetist, Certified Registered | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2006-08-02 |
| 1861417263 | Giovanna Garner | Nurse Anesthetist, Certified Registered | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2006-07-13 |
| 1881628865 | Catherine Kenyon | Nurse Anesthetist, Certified Registered | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2006-07-10 |
| 1043242738 | Patricia Steffen | Nurse Anesthetist, Certified Registered | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2006-07-06 |
| Find all providers in GLENS FALLS | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
Please comment or provide details below to improve the information on PETER MANDWELLE.
| 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.