Glen E Anderson (NPI# 1801061288, PAC ID# 1153580683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801061288 |
| PAC ID by PECOS | 1153580683 |
| Professional Enrollment ID | I20120302000033 |
| Full Name | Glen E Anderson |
| Organization Legal Name | HUDSON HEADWATERS HEALTH NETWORK |
| Address |
1448 Route 9 South Glens Falls NY 12803-1285 |
| Phone Number | 5187616961 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7416861208 |
| Number of Group Practice Members | 137 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330191 | GLENS FALLS HOSPITAL |
| 330222 | SARATOGA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24 Fairfield Ave, Schroon Lake, NY 12870-0292 | 5185327120 | HUDSON HEADWATERS HEALTH NETWORK |
| 1448 Route 9, South Glens Falls, NY 12803-1285 | 5187616961 | HUDSON HEADWATERS HEALTH NETWORK |
| 3761 Main St, Warrensburg, NY 12885-1837 | 5186233918 | HUDSON HEADWATERS HEALTH NETWORK |
| 3767 Main St, Warrensburg, NY 12885-1837 | 5186232844 | HUDSON HEADWATERS HEALTH NETWORK |
| Organization Legal Name | HUDSON HEADWATERS HEALTH NETWORK |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Esterson | Family Medicine | Hudson Headwaters Health Network | 828 State Route 11, Champlain, NY 12919-4966 |
| Ashley Claire Eleanor Bernotas | Family Medicine | Hudson Headwaters Health Network | 87 Plaza Blvd, Plattsburgh, NY 12901-6438 |
| Cassie Elaine Leonard | Obstetrics/gynecology | Hudson Headwaters Health Network | 90 S St, Glens Falls, NY 12801-4353 |
| Sarah M Thompson | Family Medicine | Hudson Headwaters Health Network | 6223 State Route 9, Chestertown, NY 12817-2823 |
| Kristine Blais Alix | Nurse Practitioner | Hudson Headwaters Health Network | 11 Cross St, Bolton Landing, NY 12814-7711 |
| Rita L All | Nurse Practitioner | Hudson Headwaters Health Network | 100 Broad St, Glens Falls, NY 12801-4349 |
| Maurice A Racine | Family Medicine | Hudson Headwaters Health Network | 24 Fairfield Ave, Schroon Lake, NY 12870-0292 |
| Christopher H Jackson | Physician Assistant | Hudson Headwaters Health Network | 126 Ski Bowl Rd, North Creek, NY 12853-2607 |
| Howard E Silverberg | Internal Medicine | Hudson Headwaters Health Network | 48 E St, Fort Edward, NY 12828-1811 |
| Harriet Busch | Family Practice | Hudson Headwaters Health Network | 14 Manor Dr, Queensbury, NY 12804-1906 |
| Street Address |
1448 ROUTE 9 |
| City | SOUTH GLENS FALLS |
| State | NY |
| Zip | 12803-1285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E. Adams | Family Medicine | Hudson Headwaters Health Network | 1448 Route 9, South Glens Falls, NY 12803-1285 |
| Felicia A Heber | Nurse Practitioner | Hudson Headwaters Health Network | 1448 Route 9, South Glens Falls, NY 12803-1285 |
| Cheryl Marie Morris | Nurse Practitioner | Hudson Headwaters Health Network | 1448 Route 9, South Glens Falls, NY 12803-1285 |
| Jacquelyn A Buckley | Physician Assistant | Hudson Headwaters Health Network | 1448 Route 9, South Glens Falls, NY 12803-1285 |
| City | SOUTH GLENS FALLS |
| Zip Code | 12803 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SOUTH GLENS FALLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Glen E Anderson.
| 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.