| Carondelet Regional Medical, Pc | |
|
3768 State Highway 30 Broadalbin Health Center Broadalbin NY 12025-0923 | |
| (518) 883-3121 | |
| (518) 883-8268 |
| Full Name | Carondelet Regional Medical, Pc |
|---|---|
| Speciality | General Practice |
| Location | 3768 State Highway 30, Broadalbin, New York |
| Authorized Official Name and Position | Ronald N Marsh (PRESIDENT) |
| Authorized Official Contact | 5188436914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carondelet Regional Medical, Pc 427 Guy Park Ave Amsterdam NY 12010-1064 Ph: (518) 841-7401 | Carondelet Regional Medical, Pc 3768 State Highway 30 Broadalbin Health Center Broadalbin NY 12025-0923 Ph: (518) 883-3121 |
| NPI Number | 1861939944 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 0840554051 |
|---|---|
| Medicare Enrollment ID | O20180515002257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861939944 | NPI | - | NPPES |
| Provider Name | Craig E Todd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033170873 PECOS PAC ID: 7012902646 Enrollment ID: I20040414001841 |
| Provider Name | David A Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053340489 PECOS PAC ID: 8123095122 Enrollment ID: I20040910000233 |
| Provider Name | Craig N Van Roekens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710930615 PECOS PAC ID: 1557253127 Enrollment ID: I20041117000922 |
| Provider Name | James F Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336183292 PECOS PAC ID: 6204891849 Enrollment ID: I20041123000743 |
| Provider Name | Linda S Selby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639165251 PECOS PAC ID: 9537112578 Enrollment ID: I20050302000092 |
| Provider Name | Martin P. Kasofsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598783722 PECOS PAC ID: 4183665284 Enrollment ID: I20050519000142 |
| Provider Name | Susan Casler Bladek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558395418 PECOS PAC ID: 9830108935 Enrollment ID: I20060420000419 |
| Provider Name | Walter D Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790982478 PECOS PAC ID: 1355439738 Enrollment ID: I20071119000376 |
| Provider Name | Ronald Marsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932219367 PECOS PAC ID: 2860485968 Enrollment ID: I20080425000262 |
| Provider Name | Robert M Droege |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164423489 PECOS PAC ID: 0042210056 Enrollment ID: I20100518000066 |
| Provider Name | William H Forlano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114928413 PECOS PAC ID: 1951301969 Enrollment ID: I20100518000089 |
| Provider Name | George G Weis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457352999 PECOS PAC ID: 2860492873 Enrollment ID: I20100518000117 |
| Provider Name | William D Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518963941 PECOS PAC ID: 5890960819 Enrollment ID: I20111202000286 |
| Provider Name | Kevin P Cope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861498248 PECOS PAC ID: 1759298425 Enrollment ID: I20111202000310 |
| Provider Name | Nicole D Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730527458 PECOS PAC ID: 8123254091 Enrollment ID: I20131125000204 |
| Provider Name | Christopher J Mierek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790911931 PECOS PAC ID: 2567438617 Enrollment ID: I20140211001161 |
| Provider Name | Jeri Lynne Savoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003010786 PECOS PAC ID: 5698908614 Enrollment ID: I20140429000059 |
| Provider Name | Julie Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740658244 PECOS PAC ID: 2062713357 Enrollment ID: I20151210000262 |
| Provider Name | Jesse J Hollis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669755112 PECOS PAC ID: 7719274497 Enrollment ID: I20160923000429 |
| Provider Name | Chelsea Elizabeth Sohns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598422164 PECOS PAC ID: 9537550322 Enrollment ID: I20220105002609 |
| Provider Name | Heather Lynn Miner-goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105389 PECOS PAC ID: 9739575978 Enrollment ID: I20220415000125 |
| Provider Name | Crystal Maria Burnsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205391489 PECOS PAC ID: 8527413251 Enrollment ID: I20231016001132 |
| Provider Name | Govind C K Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225146574 PECOS PAC ID: 5193251007 Enrollment ID: I20241216000172 |
| Provider Name | Tara Lynn Mccoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952143208 PECOS PAC ID: 9931639994 Enrollment ID: I20250206001956 |
Mayer And Cope Family Practice Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3768 State Highway 30, Broadalbin, NY 12025 Phone: 518-883-3121 | |
Carondelet Regional Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3768 State Highway 30, Broadalbin, NY 12025 Phone: 518-883-3121 Fax: 518-883-8268 |