Individual provider Active NPI

Patricia L. Hale I, MD, PHD, FACP

  • Internal Medicine Physician
  • Fort Edward, NY
National Provider Identifier
1063414308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
172396-1 Issued in NY
Practice address
321 Broadway
Fort Edward, NY 12828-1233
Phone
(518) 747-1041
Fax
(518) 747-1022
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 172396-1 NY Primary

Addresses

Primary practice location

321 Broadway
Fort Edward, NY 12828-1233

Mailing address

56 Parkhurst Rd
Gansevoort, NY 12831-1232

Other names 1

  • Miss Patricia L. Auwarter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
172396-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc. Internal Medicine Current Accepting new patients
Adirondack Medical Associates, LLC Internal Medicine Past Accepting new patients
Saratoga Nephrology, PLLC Past Accepting new patients

Locations

79 North St
Granville, NY 12832
Phone (518) 642-0612

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063414308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PARKHURST RD",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BROADWAY",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281233",
            "telephone_number": "518-747-1041",
            "fax_number": "518-747-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "PATRICIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD, PHD, FACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172396-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "AUWARTER",
            "middle_name": "L.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Edward, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.