Primary Care Health Partners-Adirondack LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PRIMARY CARE HEALTH PARTNERS-ADIRONDACK LLC

Practice address

159 Margaret St
Suite 103
Plattsburgh, NY 12901-1874

Phone

(518) 562-0151

Fax

(518) 562-2718

NPI assigned

Jul 12, 2013

Last updated

Dec 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Asselin

Title

Chief Operating Officier

Phone

(802) 872-4326

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Primary Care Health Partners - New York LLP

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1003861782

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James E Carroll, MD

  • Family Medicine Physician
  • Hoosick Falls, NY
  • NPI 1598721078
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1255772729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 KNIGHT LN STE 10",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959308",
            "telephone_number": "802-872-4327",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST",
            "address_2": "SUITE 103",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011874",
            "telephone_number": "518-562-0151",
            "fax_number": "518-562-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE HEALTH PARTNERS-ADIRONDACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "ASSELIN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICIER",
        "authorized_official_telephone_number": "802-872-4326"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Laundrie Premore, MS, PT
• William P. Prevo, PA
• Nancy Hathcock Pribble, MSED
• Primary Care Health Partners
• Primary Care Health Partners - New York LLP
• PRNC Operating LLC (Plattsbugh Rehabilitation & Nursing Center)
• PRNC Operating LLC (Plattsburgh Rehabilitation and Nursing Center)
• Pro-Care Hearing, LLC
• John Anthony Prondecki, DMD
• Amiee Kristin Kota Provost, PHARMD

• Pediatrics Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.