Kathleen Anne Whaley (NPI# 1598706327, PAC ID# 7517859341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1598706327 |
| PAC ID by PECOS | 7517859341 |
| Professional Enrollment ID | I20180301000075 |
| Full Name | Kathleen Anne Whaley |
| Organization Legal Name | CONIFER PARK INC |
| Address |
79 Glenridge Rd Scotia NY 12302-4523 |
| Phone Number | 5189522000 |
| Gender | F |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ADDICTION MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2769470384 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 526 Old Liverpool Rd, Liverpool, NY 13088-6238 | 3154533911 | CONIFER PARK INC |
| 556 Clinton Ave S, Rochester, NY 14620-1105 | 5854428422 | CONIFER PARK INC |
| 79 Glenridge Rd, Scotia, NY 12302-4523 | 5189522000 | CONIFER PARK INC |
| Organization Legal Name | CONIFER PARK INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Briana Link | Clinical Social Worker | Conifer Park Inc | 600 Franklin St, Schenectady, NY 12305-2100 |
| James Brian Smith | Clinical Social Worker | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| David L Tymchyn | Clinical Social Worker | Conifer Park Inc | 2435 6th Ave, Troy, NY 12180-2227 |
| Michael W Slome | Psychiatry | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Jean A Miles | Physician Assistant | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Christopher J Davis | General Practice | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Mark Dimartino | Clinical Social Worker | Conifer Park Inc | 2435 6th Ave, Troy, NY 12180-2227 |
| Elias Christidis | Internal Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Street Address |
79 GLENRIDGE RD |
| City | SCOTIA |
| State | NY |
| Zip | 12302-4523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Brian Smith | Clinical Social Worker | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Jean A Miles | Physician Assistant | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Elias Christidis | Internal Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Irene T Sack | Clinical Social Worker | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Muralidhar Reddy | Internal Medicine | Conifer Park Inc | 79 Glenridge Rd, Scotia, NY 12302-4523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Slome | Psychiatry | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Christopher J Davis | General Practice | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Mohammad H Kabir | Internal Medicine | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Ahmad A Sultan | Physical Medicine and Rehabilitation | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| Sharon L Lyng | Nurse Practitioner | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| David J Cerniglia | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| Amanda J Hodder | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| David T Civale | Chiropractic | 1 Swaggertown Rd, Scotia, NY 12302-3249 | |
| Diane E Bonesteel | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Lisa H Sawtelle | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Find all physicians in zip 12302 | |||
| City | SCOTIA |
| Zip Code | 12302 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | SCOTIA + ADDICTION MEDICINE |
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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.