Organization Active NPI

Trilakes OBGYN P.C.

  • Obstetrics & Gynecology Physician
  • Saranac Lake, NY
National Provider Identifier
1013033752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TRILAKES OBGYN P.C.
Practice address
2249 State Route 86
Suite 4
Saranac Lake, NY 12983-5644
Phone
(518) 891-5077
Fax
(518) 891-3381
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nadine Hathaway
Title
Office Manager
Phone
(518) 891-5077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X NY Primary

Addresses

Primary practice location

2249 State Route 86
Suite 4
Saranac Lake, NY 12983-5644

Mailing address

2249 State Route 86
Suite 4
Saranac Lake, NY 12983-5644
Phone (518) 891-5077

National Provider Directory

National Provider Directory

Locations

2249 State Route 86
Ste 4
Saranac Lake, NY 12983
Phone (518) 891-5077

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013033752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 STATE ROUTE 86",
            "address_2": "SUITE 4",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-891-5077",
            "fax_number": "518-891-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 STATE ROUTE 86",
            "address_2": "SUITE 4",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-891-5077",
            "fax_number": "518-891-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILAKES OBGYN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-891-5077"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.