Active NPI
Elizabeth Anne Locke, MD
- Family Medicine Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2527791
- Practice address
- 713 Troy Schenectady Rd
Suite 224
Latham, NY 12110-2490 - Phone
- (518) 785-5881
- Fax
- (518) 785-3872
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2527791 | NY | Primary |
Addresses
Primary practice location
713 Troy Schenectady Rd
Suite 224
Latham, NY 12110-2490
Mailing address
711 Troy Schenectady Rd
Suite 201
Latham, NY 12110-2442
Phone (518) 782-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00746889 | Other | NY | RR MEDICARE |
| 03130169 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2527791 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyview Hospital and Rehabilitation Center | Current | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Family Medicine | Current | Accepting new patients |
| Ellis Hospital | Past | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Family Medicine | Past | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Family Medicine | Past | Accepting new patients |
Locations
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
713 Troy Schenectady Rd
Ste 224
Latham, NY 12110
Phone (518) 785-3614
711 Troy Schenectady Rd
Ste 201
Latham, NY 12110
1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
Interoperability endpoints
- elocke2541424@direct.trinity-health.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Family Medicine
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Family Medicine
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1043466709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD",
"address_2": "SUITE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 TROY SCHENECTADY RD",
"address_2": "SUITE 224",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102490",
"telephone_number": "518-785-5881",
"fax_number": "518-785-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "2527791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00746889",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03130169",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.