Mountain Medical Primary Care, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MOUNTAIN MEDICAL PRIMARY CARE, PLLC

Practice address

1927 Saranac Ave
Lake Placid, NY 12946-1172

Phone

(518) 523-7575

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Michael Pond, MDNPI 1962472514

Title

Owner

Phone

(518) 523-7575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael PM Pond, MD

  • Emergency Medicine Physician
  • Lake Placid, NY
  • NPI 1962472514
  Medicare reassignment Authorized official
• Mara A Bazdaric-Russell, FNP

  • Family Nurse Practitioner
  • Potsdam, NY
  • NPI 1316245236
  Medicare reassignment NPD
• Denise Marcelle Ferrando, MD

  • Obstetrics & Gynecology Physician
  • Saranac Lake, NY
  • NPI 1992808315
  Medicare reassignment NPD
• Denis Chagnon, M.D.

  • Family Medicine Physician
  • Lake Placid, NY
  • NPI 1831288216
  Medicare reassignment
• Joshu E. Coppola, P.A.

  • Medical Physician Assistant
  • Liverpool, NY
  • NPI 1942382528
  Medicare reassignment
• Dorit Dorcas Gaedtke, MD

  • Internal Medicine Physician
  • Lake Placid, NY
  • NPI 1740254069
  Medicare reassignment
• Emily J Hochwald, FNP

  • Family Nurse Practitioner
  • Tupper Lake, NY
  • NPI 1912247941
  Medicare reassignment

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1427100262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461112",
            "telephone_number": "518-523-7575",
            "fax_number": "518-523-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461172",
            "telephone_number": "518-523-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-523-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Andrew Meister
• Karen L Merrihew-Knox, RPT
• David W. Miller, PSY. D.
• Kit Morgan, LCSW
• Mountain Lake Academy
• Alisha Mullarney, MS, CCC-SLP
• Elizabeth E Nadler, ATC, CSCS
• Gilbert Evan Patenaude, D.C.
• Performance Orthopedic Design, LLC
• Madalyn Pfeifer, DPT

• Specialist in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.