ADIRONDACK MEDICAL CENTER NPI 1245446533

NPI Information

NPI: 1245446533
Provider Name: ADIRONDACK MEDICAL CENTER

Other Name: ADIRONDACK MEDICAL CENTER - PHYSICIAN

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2233 STATE ROUTE 86
SARANAC LAKE, NY
ZIP 12983
Phone: (518) 897-2636
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ADIRONDACK MEDICAL CENTER is a general practice in Saranac Lake, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADIRONDACK MEDICAL CENTER NPI is 1245446533. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Adirondack Medical Center - Physician.

The provider's business location address is:

2233 STATE ROUTE 86
SARANAC LAKE, NY
ZIP 12983-644
Phone: (518) 897-2636
Fax: (518) 897-2423

The provider's authorized official is Adele Pickreign .
The authorized official title is Credentialing Coordinator and has the following contact phone number (518) 897-4725.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 2/20/2024.

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	Primary
1	103TP0016X	Psychologist	Prescribing (Medical)	No
2	207R00000X	Internal Medicine		No
3	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	No
4	1041C0700X	Social Worker	Clinical	No
5	207QH0002X	Family Medicine	Hospice and Palliative Medicine	No
6	2084N0400X	Psychiatry & Neurology	Neurology	No
7	2084P0015X	Psychiatry & Neurology	Psychosomatic Medicine	No
8	208600000X	Surgery		No
9	208800000X	Urology		No
10	363AM0700X	Physician Assistant	Medical	No
11	363AS0400X	Physician Assistant	Surgical	No
12	363L00000X	Nurse Practitioner		No
13	363LF0000X	Nurse Practitioner	Family	No
14	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
15	208D00000X	General Practice		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	00363213	MEDICAID	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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