Charlene Harrington, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004799 Issued in NY

Practice address

327 Broadway
Fort Edward Internal Medicine
Fort Edward, NY 12828-1233

Phone

(518) 747-1041

Fax

(518) 747-1022

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Community Care Physicians, PC

  • Family Medicine Physician
  • Albany, NY
  • NPI 1811946775

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1356322564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-747-1041",
            "fax_number": "518-747-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BROADWAY",
            "address_2": "FORT EDWARD INTERNAL MEDICINE",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281233",
            "telephone_number": "518-747-1041",
            "fax_number": "518-747-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "CHARLENE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00175745",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02284917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Goodrich, LPN
• Laurel Green, LMSW
• Sasha Grems, RN
• Suzanne Hackert, LCSW-R
• Patricia L. Hale I, MD, PHD, FACP
• Felicia A Heber, FNP
• Aimee Christine Herring
• Janelle Hodges
• Susan Jean Horne, RN
• Hudson Falls Central School

• Physician Assistant in Fort Edward, NY
• Providers in Fort Edward, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.