Mary Brighid Lodge (NPI# 1568470508, PAC ID# 0143323089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1568470508 |
PAC ID by PECOS | 0143323089 |
Professional Enrollment ID | I20070313000474 |
Full Name | Mary Brighid Lodge |
Organization Legal Name | CAPITAL FOOT SPECIALISTS |
Address |
713 Troy Schenectady Rd Suite 22 Latham NY 12110-2490 |
Phone Number | 5187851110 |
Gender | F |
Credential | DPM |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 3779675483 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
713 Troy Schenectady Rd, Suite 22, Latham, NY 12110-2490 | 5187851110 | CAPITAL FOOT SPECIALISTS |
1217 Curry Rd, Rotterdam, NY 12306-3707 | 5183550043 | CAPITAL FOOT SPECIALISTS |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 100% | |
MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
Organization Legal Name | CAPITAL FOOT SPECIALISTS |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kurt Wendell Relation | Podiatry | Capital Foot Specialists | 1217 Curry Rd, Rotterdam, NY 12306-3707 |
Street Address |
713 TROY SCHENECTADY RD SUITE 22 |
City | LATHAM |
State | NY |
Zip | 12110-2490 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natalia E Veselova | Rheumatology | 713 Troy Schenectady Rd, Suite 131, Latham, NY 12110-2490 | |
Edward S Orris | Gastroenterology | Albany-capital Region Gastroenterology Consultants Co Pllc | 713 Troy Schenectady Rd, Suite 224, Latham, NY 11210 |
Andrew L Isenberg | General Surgery | Community Care Physicians PC | 713 Troy Schenectady Rd, Suite 310, Latham, NY 12110-2490 |
Kristin T Crouse | Family Medicine | Community Care Physicians PC | 713 Troy Schenectady Rd, Suite 224, Latham, NY 12110-2490 |
Zachary Joseph Roth | Ophthalmology | Robert E Brass Md Pllc | 713 Troy Schenectady Rd, Suite 135, Latham, NY 12110-2490 |
Sunah K Alexander | Optometry | Robert E Brass Md Pllc | 713 Troy Schenectady Rd, Suite 135, Latham, NY 12110-2490 |
Robert E Brass | Ophthalmology | Robert E Brass Md Pllc | 713 Troy Schenectady Rd, Suite 135, Latham, NY 12110-2490 |
Brian C Murphy | Nurse Practitioner | Albany-capital Region Gastroenterology Consultants Co Pllc | 713 Troy Schenectady Rd, Suite 224, Latham, NY 11210 |
Rolandy Dumornay | Optometry | Natalie W Lopasic | 713 Troy Schenectady Rd, Suite 218, Latham, NY 12110-2490 |
Jefferey A Foley | Physician Assistant | Albany Medical College | 713 Troy Schenectady Rd, Suite 306, Latham, NY 12110-2490 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Joanne Fogarty | Internal Medicine | 564 Loudon Rd, Latham, NY 12110 | |
Robert Califano | Podiatry | 713 Troy Rd, Suite 222, Latham, NY 12110 | |
Keith R Edwards | Neurology | Empire Neurology, PC | 1182 Troy Schenectady Rd, Suite 203, Latham, NY 12110-1000 |
Thomas J Lovely | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
John F Morrison | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Thomas M Mccormack | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Penny S Bruso | Nurse Practitioner | Empire Neurology, PC | 1182 Troy Schenectady Rd, Suite 203, Latham, NY 12110-1000 |
Taylor L Mcgrath | Physician Assistant | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Craig Goldberg | Neurology | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Brian M Gordon | Orthopedic Surgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Find all physicians in zip 12110 |
City | LATHAM |
Zip Code | 12110 |
Specialty | PODIATRY |
City + Specialty | LATHAM + PODIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.