CHAMPLAIN PAIN RELIEF AND NEUROLOGY PLLC NPI 1285763912

NPI Information

NPI: 1285763912
Provider Name: CHAMPLAIN PAIN RELIEF AND NEUROLOGY, PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
159 MARGARET STREET
SUITE 500
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 566-8603
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CHAMPLAIN PAIN RELIEF AND NEUROLOGY, PLLC is a neurology psychiatry neurology in Plattsburgh, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CHAMPLAIN PAIN RELIEF AND NEUROLOGY, PLLC NPI is 1285763912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

159 MARGARET STREET
SUITE 500
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 566-8603
Fax: (518) 566-8582

The provider's authorized official is Ellen Celeste Gaughan .
The authorized official title is Owner and has the following contact phone number (518) 566-8603.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 9/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	213308	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130023170	OTHER	NEW YORK	RRMCR
2	2033749	OTHER	NEW YORK	AETNA
3	698338	OTHER	NEW YORK	MVP
4	01998998	MEDICAID	NEW YORK
5	P010213308	OTHER	NEW YORK	EXCELLUS BC BS
6	110639300	OTHER	NEW YORK	USDOL
7	000495471003	OTHER	NEW YORK	BLUE SHIELD OF NENY
8	8C1231	OTHER	NEW YORK	BLUE CROSS BLUE SHIELD
9	G76133	MEDICARE UPIN	NEW YORK
10	NYBU16502	MEDICARE OSCAR/CERTIFICATION	NEW YORK
11	J100000167	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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