Glens Falls Obstetrics & Gynecology PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GLENS FALLS OBSTETRICS & GYNECOLOGY PC

Practice address

28 S Western Ave
Queensbury, NY 12804-3323

Phone

(518) 798-6165

Fax

(518) 798-0658

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Provost, MD

Title

Physician

Phone

(518) 798-6165

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1275635591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SO WESTERN AVENUE",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "12804",
            "telephone_number": "518-798-6165",
            "fax_number": "518-798-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S WESTERN AVE",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043323",
            "telephone_number": "518-798-6165",
            "fax_number": "518-798-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENS FALLS OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "518-798-6165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catrina Giorgio, LMSW
• Nadia Ann Giumarra, R.N.
• Shannon Gizzi, LMSW
• Glens Falls Eye Associates, P.C.
• Glens Falls Hospital Inc
• Glens Falls Optometry PC
• Gabrielle Gockel, LMSW
• Rebecca Margaret Goguen
• Christina Gow, NP, RN
• Tiffany Graveley, LMHC, LPC

• All providers in Queensbury, NY
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.