Active NPI
Saratoga General Surgery, PLLC
- Specialist
- Saratoga Springs, NY
National Provider Identifier
1356488613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 188144
- Legal business name
- SARATOGA GENERAL SURGERY, PLLC
- Practice address
- 414 Maple Ave Ste 700
Saratoga Springs, NY 12866-5551 - Phone
- (518) 587-1302
- Fax
- (518) 587-3818
- NPI assigned
- Jan 30, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard L Yeaton, M.D., FACS
- Title
- Owner
- Phone
- (518) 587-1302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 188144 | NY | Primary |
Addresses
Primary practice location
414 Maple Ave Ste 700
Saratoga Springs, NY 12866-5551
Mailing address
414 Maple Ave Ste 700
Saratoga Springs, NY 12866-5551
Phone (518) 587-1302
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10002224 | Other | NY | CDPHP |
| 0074281 | Medicaid | NY | |
| 02171 | Other | NY | MVP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Specialist
- Saratoga Springs, NY
- NPI 1780676544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356488613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 MAPLE AVE STE 700",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128665551",
"telephone_number": "518-587-1302",
"fax_number": "518-587-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 MAPLE AVE STE 700",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128665551",
"telephone_number": "518-587-1302",
"fax_number": "518-587-3818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARATOGA GENERAL SURGERY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YEATON",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-587-1302",
"authorized_official_credential": "M.D., FACS"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "188144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002224",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074281",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "02171",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.