| Sara Gorham, CNM,CRNP | |
|
665 Saratoga Rd, Suite 100, Gansevoort, NY 12831-1599 | |
| (518) 363-8815 | |
| (518) 363-8831 |
| Full Name | Sara Gorham |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 665 Saratoga Rd, Gansevoort, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932177631 | NPI | - | NPPES |
| 581397572 | Other | TAX ID # | |
| 417108236A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 421238 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | 001706 (New York) | Primary |
| Entity Name | Saratoga Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
| Entity Name | Saratoga Regional Medical , P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982094827 PECOS PAC ID: 9032438544 Enrollment ID: O20150505002182 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Gorham, CNM,CRNP 665 Saratoga Rd, Suite 100, Gansevoort, NY 12831-1599 Ph: (518) 363-8815 | Sara Gorham, CNM,CRNP 665 Saratoga Rd, Suite 100, Gansevoort, NY 12831-1599 Ph: (518) 363-8815 |
Kathleen A Murphy, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 665 Saratoga Rd, Suite 100, Gansevoort, NY 12831 Phone: 518-363-8815 Fax: 518-363-8831 | |
Ms. Kim Elizabeth Schoch, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 665 Saratoga Rd, Suite 100, Gansevoort, NY 12831 Phone: 518-363-8815 Fax: 518-363-8831 | |
Barbara J Smith-foy, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 665 Saratoga Rd, Suite 100, Gansevoort, NY 12831 Phone: 518-363-8815 Fax: 518-363-8831 |