| Ellis Hospital | |
|
1101 Nott St Schenectady NY 12308-2425 | |
| (518) 243-1916 | |
| (518) 243-1853 |
| Full Name | Ellis Hospital |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1101 Nott St, Schenectady, New York |
| Authorized Official Name and Position | Paul A Milton (CEO) |
| Authorized Official Contact | 5182434141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Hospital 1101 Nott St Schenectady NY 12308-2425 Ph: (518) 243-1916 | Ellis Hospital 1101 Nott St Schenectady NY 12308-2425 Ph: (518) 243-1916 |
| NPI Number | 1558547034 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 03/14/2018 |
| Medicare PECOS PAC ID | 5890607410 |
|---|---|
| Medicare Enrollment ID | O20080417000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558547034 | NPI | - | NPPES |
| GRJ575 | Other | CDPHP | |
| CI6804 | Other | NY | RAILROAD MEDICARE |
| GRP417056001 | Other | BLUE SHIELD OF NENY |
| Provider Name | Bret Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255371159 PECOS PAC ID: 7719961705 Enrollment ID: I20040616001292 |
| Provider Name | Chittaranjan Prasad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578503512 PECOS PAC ID: 9335125319 Enrollment ID: I20040629000977 |
| Provider Name | William T Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184651093 PECOS PAC ID: 2860470903 Enrollment ID: I20040713001414 |
| Provider Name | Sergio A Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265460547 PECOS PAC ID: 4486633542 Enrollment ID: I20040714000597 |
| Provider Name | Asim Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972532976 PECOS PAC ID: 4880664770 Enrollment ID: I20040728000995 |
| Provider Name | John S Janikas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811037708 PECOS PAC ID: 3870565211 Enrollment ID: I20040806001145 |
| Provider Name | Michael R Bibighaus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679518948 PECOS PAC ID: 9739151721 Enrollment ID: I20040810001058 |
| Provider Name | Stephen J Sokaris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710995287 PECOS PAC ID: 5294704912 Enrollment ID: I20040929000940 |
| Provider Name | Clara E Somoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477628618 PECOS PAC ID: 3072570746 Enrollment ID: I20041214000714 |
| Provider Name | Anna M Eardley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043210461 PECOS PAC ID: 2567414196 Enrollment ID: I20050211000403 |
| Provider Name | Michael Platzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093742942 PECOS PAC ID: 2365495611 Enrollment ID: I20050225000680 |
| Provider Name | Robert M Rattner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295768141 PECOS PAC ID: 9335195098 Enrollment ID: I20050325000225 |
| Provider Name | Samuel Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174548945 PECOS PAC ID: 9537175344 Enrollment ID: I20060303000274 |
| Provider Name | Kathleen Pastore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689614125 PECOS PAC ID: 9032164181 Enrollment ID: I20060609000223 |
| Provider Name | Sydney E De Angelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255365458 PECOS PAC ID: 7517069842 Enrollment ID: I20070216000437 |
| Provider Name | Sharona Schneid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225051535 PECOS PAC ID: 4880698927 Enrollment ID: I20070801000550 |
| Provider Name | Kathleen M Crisafulli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801824644 PECOS PAC ID: 4385739002 Enrollment ID: I20070926000740 |
| Provider Name | Christine Towers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609071091 PECOS PAC ID: 6204922099 Enrollment ID: I20071009000748 |
| Provider Name | Miroslav Vytrisal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629294624 PECOS PAC ID: 6305921925 Enrollment ID: I20080306000563 |
| Provider Name | Roger Barrowman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124057096 PECOS PAC ID: 4981517901 Enrollment ID: I20080417000113 |
| Provider Name | Robert Dachs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366474595 PECOS PAC ID: 2961580840 Enrollment ID: I20080417000125 |
| Provider Name | Michael J O Brien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750313664 PECOS PAC ID: 8426961442 Enrollment ID: I20080417000167 |
| Provider Name | Tracy Soler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669664801 PECOS PAC ID: 4981773892 Enrollment ID: I20080519000513 |
| Provider Name | Samuel O Anameze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003070749 PECOS PAC ID: 2668546037 Enrollment ID: I20080801000613 |
| Provider Name | Matthew J Miles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801880067 PECOS PAC ID: 3971662925 Enrollment ID: I20081105000240 |
| Provider Name | Peter C Ferrera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487626107 PECOS PAC ID: 2365466430 Enrollment ID: I20081111000089 |
| Provider Name | Bryan E Kurtz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790710069 PECOS PAC ID: 3870546401 Enrollment ID: I20090512000341 |
| Provider Name | Brent Gottesman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710198023 PECOS PAC ID: 6709960347 Enrollment ID: I20090709000083 |
| Provider Name | Piotr A Jaworowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902038722 PECOS PAC ID: 1951447184 Enrollment ID: I20091001000493 |
| Provider Name | Laurie G Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689677759 PECOS PAC ID: 6608867775 Enrollment ID: I20091229000446 |
| Provider Name | Timothy B Mooney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447412804 PECOS PAC ID: 3375739691 Enrollment ID: I20101130000092 |
| Provider Name | Jack Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598805483 PECOS PAC ID: 6002709672 Enrollment ID: I20101213000051 |
| Provider Name | Neelam Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891954145 PECOS PAC ID: 0547440885 Enrollment ID: I20110203000881 |
| Provider Name | Parvathi S Kesari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063426930 PECOS PAC ID: 2567645682 Enrollment ID: I20110328000755 |
| Provider Name | Steven J Manierre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821308099 PECOS PAC ID: 9931387669 Enrollment ID: I20110629000274 |
| Provider Name | Kevin J Crowley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376780312 PECOS PAC ID: 9234317751 Enrollment ID: I20110701000003 |
| Provider Name | Robert G Mchugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710145982 PECOS PAC ID: 9931377835 Enrollment ID: I20110720000388 |
| Provider Name | Rajiv Pant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154591931 PECOS PAC ID: 6608944103 Enrollment ID: I20110721000821 |
| Provider Name | Heather M Janik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528217072 PECOS PAC ID: 4183892706 Enrollment ID: I20110726000053 |
| Provider Name | Ryan W. H. Richman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215196936 PECOS PAC ID: 1557539947 Enrollment ID: I20110801000219 |
| Provider Name | Joseph T Vukovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053637728 PECOS PAC ID: 5890937866 Enrollment ID: I20130805000631 |
| Provider Name | Richard Lagace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063702983 PECOS PAC ID: 6901035666 Enrollment ID: I20140130000053 |
| Provider Name | Richard A Duszak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184902454 PECOS PAC ID: 1254559602 Enrollment ID: I20140826001654 |
| Provider Name | Lizette A Edge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891073169 PECOS PAC ID: 2466673348 Enrollment ID: I20141017000496 |
| Provider Name | Erin Morine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023375938 PECOS PAC ID: 1850513771 Enrollment ID: I20141110000947 |
| Provider Name | Christopher R Macaluso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063626695 PECOS PAC ID: 4587763800 Enrollment ID: I20150220001214 |
| Provider Name | Christopher E Barsotti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891728846 PECOS PAC ID: 3375596455 Enrollment ID: I20150821012987 |
| Provider Name | Bjorn N Aujalay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497742951 PECOS PAC ID: 6103845623 Enrollment ID: I20151009000796 |
| Provider Name | Jordana Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174897441 PECOS PAC ID: 2567609449 Enrollment ID: I20151020001517 |
| Provider Name | Stephen G Verdini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538588090 PECOS PAC ID: 2860784295 Enrollment ID: I20160706000279 |
| Provider Name | Daniel Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427308980 PECOS PAC ID: 9537478698 Enrollment ID: I20160826001704 |
| Provider Name | Shane Diamond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528403698 PECOS PAC ID: 8527294453 Enrollment ID: I20161012002921 |
| Provider Name | Ryan T Chevrier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962957084 PECOS PAC ID: 7911286653 Enrollment ID: I20161121000103 |
| Provider Name | Maurya Datka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548719057 PECOS PAC ID: 5799069134 Enrollment ID: I20170301002631 |
| Provider Name | Jeremy R Semeiks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093109480 PECOS PAC ID: 2769769512 Enrollment ID: I20170503001200 |
| Provider Name | Moses A Washington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174810386 PECOS PAC ID: 7214204049 Enrollment ID: I20170530000895 |
| Provider Name | Keith A Schenker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316367394 PECOS PAC ID: 2163794447 Enrollment ID: I20170822000301 |
| Provider Name | Leticia R Daconti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821417213 PECOS PAC ID: 4880815802 Enrollment ID: I20170913000517 |
| Provider Name | Kelsey R Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821527250 PECOS PAC ID: 2860767779 Enrollment ID: I20171003005931 |
| Provider Name | Arpit R Sanghvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194139188 PECOS PAC ID: 6709151046 Enrollment ID: I20171012000670 |
| Provider Name | Jason Schwaber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558687863 PECOS PAC ID: 6709014095 Enrollment ID: I20171024003040 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20180425000361 |
| Provider Name | Maykol G Alarcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598265613 PECOS PAC ID: 1557626967 Enrollment ID: I20180605001708 |
| Provider Name | Pedro A Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619349024 PECOS PAC ID: 8123377173 Enrollment ID: I20180823003017 |
| Provider Name | Joseph A Kaczmarek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215390281 PECOS PAC ID: 8123377017 Enrollment ID: I20180827001799 |
| Provider Name | Geoffry M Gillespie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306279260 PECOS PAC ID: 3274882170 Enrollment ID: I20180827002498 |
| Provider Name | Isidro Borboa-orduno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275913592 PECOS PAC ID: 9234481219 Enrollment ID: I20181003001471 |
| Provider Name | Sarah E Secor Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740609494 PECOS PAC ID: 2062732209 Enrollment ID: I20181010000749 |
| Provider Name | Kraig K Wasik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851755649 PECOS PAC ID: 1951647528 Enrollment ID: I20190410001769 |
| Provider Name | Emma R Furlano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215390802 PECOS PAC ID: 1052659018 Enrollment ID: I20190429000398 |
| Provider Name | Megan E Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083139612 PECOS PAC ID: 8426381518 Enrollment ID: I20190604002749 |
| Provider Name | Bethany A Hawke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003348582 PECOS PAC ID: 5193062735 Enrollment ID: I20190917001834 |
| Provider Name | Ryan Remarcke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659803708 PECOS PAC ID: 1254677727 Enrollment ID: I20200116001378 |
| Provider Name | Kira L Benson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457883795 PECOS PAC ID: 0244576809 Enrollment ID: I20200129001983 |
| Provider Name | Daniel G Funsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471547 PECOS PAC ID: 2365789039 Enrollment ID: I20200303000879 |
| Provider Name | Jeremy Sawh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871943746 PECOS PAC ID: 2062842131 Enrollment ID: I20200414001884 |
| Provider Name | Nitish Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710368055 PECOS PAC ID: 4385942275 Enrollment ID: I20201203001081 |
| Provider Name | Benjamin Garbus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851896658 PECOS PAC ID: 1951646983 Enrollment ID: I20201203001237 |
| Provider Name | Julie Newhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275180192 PECOS PAC ID: 1052727351 Enrollment ID: I20210311001216 |
| Provider Name | Christopher M Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609238005 PECOS PAC ID: 5193067098 Enrollment ID: I20210318002764 |
| Provider Name | Dennis D Urso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457855090 PECOS PAC ID: 0547660797 Enrollment ID: I20210610000774 |
| Provider Name | Oleg Nechyporuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326531435 PECOS PAC ID: 4284031295 Enrollment ID: I20210917001111 |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Mcclellan St, Schenectady, NY 12304 Phone: 518-382-2217 | |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Mcclellan St Ste G2, Schenectady, NY 12304 Phone: 518-382-2203 | |
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2125 River Rd Ste 103, Schenectady, NY 12309 Phone: 518-382-7500 Fax: 518-382-7572 | |
Ellis Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Nott St Ste 304, Schenectady, NY 12308 Phone: 518-243-4134 | |
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Curry Rd, Schenectady, NY 12303 Phone: 518-356-5377 Fax: 518-881-1489 | |
Purcell Integrative Osteopathic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1462 Erie Blvd Ste 3, Schenectady, NY 12305 Phone: 518-901-2800 Fax: 518-240-4347 | |
Community Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2546 Balltown Road, Suite 200, Schenectady, NY 12309 Phone: 518-374-1444 Fax: 518-374-0491 |