Active NPI
Karen A Mulholland, PA-C
- Medical Physician Assistant
- Schenectady, NY
National Provider Identifier
1275918294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 021285
- Practice address
- 124 Rosa Rd
Suite 382
Schenectady, NY 12308 - Phone
- (518) 386-3691
- Fax
- (518) 386-3553
- NPI assigned
- Jul 21, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 021285 | NY | Primary |
Addresses
Primary practice location
124 Rosa Rd
Suite 382
Schenectady, NY 12308
Mailing address
124 Rosa Rd
Suite 382
Schenectady, NY 12308
Phone (518) 386-3691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04925297 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kcrackovich@spcca.medentdirect.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- Pulmonary Disease Physician
- Schenectady, NY
- NPI 1013042084
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- General Acute Care Hospital
- Gloversville, NY
- NPI 1538296207
-
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1811977796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1275918294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 ROSA RD",
"address_2": "SUITE 382",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "12308",
"telephone_number": "518-386-3691",
"fax_number": "518-386-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 ROSA RD",
"address_2": "SUITE 382",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "12308",
"telephone_number": "518-386-3691",
"fax_number": "518-386-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHOLLAND",
"first_name": "KAREN",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "021285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04925297",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.