Organization Active NPI

Saratoga General Surgery, PLLC

  • Specialist
  • Saratoga Springs, NY
National Provider Identifier
1356488613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
188144 Issued in NY
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Howard L Yeaton, M.D., FACSNPI 1780676544
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10002224OtherNYCDPHP
0074281MedicaidNY
02171OtherNYMVP

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.