Saratoga Hospital
Organization Active NPI Family Medicine Physician · Ballston Lake, NY
NPI 1437418795 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1437418795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SARATOGA HOSPITAL
- Practice address
- 112 Charlton Rd
Ballston Lake, NY 12019-2547 - Phone
- (518) 399-7723
- Fax
- (518) 399-6428
- NPI assigned
- May 8, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- SARATOGA HOSPITAL
Authorized official
- Name
- Kathleen Stahura
- Title
- Director
- Phone
- (518) 583-8346
Owners & managing parties with NPI records 3
-
Dennis Patrick McKenna, M.D.
-
Marianne A Mustafa, M.D.
Other NPIs on the same Medicare enrollment 20
Practitioners 170
-
Armin Afsar-Keshmiri, M.D.
-
Jameel Ali, PA
-
Carrie B. Ambrosino, RPA-C
-
Laura L Arenz, NP
-
Aimee Lynn Austin, FNP
-
Jennifer Bayron, M.D.
-
Anna Elaine Bellinger, PMHNP
-
Kaylyn Bennett, NP
-
Kira Benson, D.O.
-
Eliot L. Birnbaum, M.D.
-
Jennifer Lynn Borden, M.D.
-
Lorelei Natasha Bourla, M.D.
-
Sean Patrick Boyle, M.D.
-
Susan Emily Bradford, M.D.
-
Enrico Bravo, M.D.
-
Mara J Buchanan, P.A.
-
Christopher Buff, D.O.
-
Nicole Burden, PA-C
-
Catherine A Chincola, RD,LDN,CDE
-
Jae K Chung, DO
Affiliated clinicians 888
-
Armin Afsar-Keshmiri, M.D.
-
Lorina Aiello, NP
-
Jamie Nicole Albucher, PA-C
-
Ryan Scott Alden, MD
-
William George Alderisio, M.D.
-
Richard Alfred, MD
-
Heather M Ali, PA
-
Jameel Ali, PA
-
Christina L Allen, FNP
-
Michael Robert Allen, M.D.
-
R. Maxwell Alley, M.D.
-
Yunis Alloush, PA-C
-
Carrie B. Ambrosino, RPA-C
-
Hetal T Amin, D.O.
-
Ivan Andriianov, CRNA
-
Aaron Joshua Antiles, M.D.
-
Naima Anwer, M.D.
-
Angela Marie Applebee, M.D.
-
Laura L Arenz, NP
-
Charles Argoff, MD
-
Brian Nicholas Arnold, M.D.
Medicare Care Compare: Hospital
- Listed as
- Saratoga Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Hospital certification: CCN 330222
- Legal name
- SARATOGA HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 14, 2025
- Beds
- 171
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 16, 1891 in NY
- Enrollment address
- 211 Church St
Saratoga Springs, NY 12866-1003 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Kathleen a Stahura |
Corporate Director |
Mar 9, 1998 | |
| W-2 Managing Employee |
Mar 9, 1998 | ||
| Jill J Vankuren |
Corporate Director |
Sep 19, 2022 | |
| Margaret Smith Cassier |
Corporate Officer | Jan 1, 2023 | |
| Dennis P McKenna |
Corporate Officer |
Jan 1, 2023 | |
| Heather Ward |
Corporate Officer |
Jan 1, 2017 | |
| Albany Med Health System |
Operational/Managerial Control | Jan 1, 2017 | |
| Thomas J Roohan |
Corporate Officer | Jan 1, 2018 | |
| Susan L Dake |
Corporate Officer | Jan 1, 2018 | |
| Michael Trimarchi |
Corporate Officer | Jan 1, 2023 | |
| Elizabeth Wood-Pustolka |
Corporate Officer | Jan 1, 2020 | |
| Christopher Jenkins |
Corporate Director | Apr 1, 2023 | |
| W-2 Managing Employee | Apr 1, 2023 | ||
| Patricia Gavis |
Contracted Managing Employee |
Jun 1, 2023 | |
| Corporate Officer |
Jun 1, 2023 | ||
| Corporate Director | Jun 1, 2023 | ||
| W-2 Managing Employee |
Jun 1, 2023 | ||
| Michael Billok |
Corporate Officer | Jul 1, 2023 | |
| Frank L Messa |
Corporate Officer |
Jan 1, 2015 | |
| Kim Hedley |
Corporate Officer | Jul 1, 2023 | |
| Raimundo C Archibold |
Corporate Officer | Jan 1, 2020 | |
| Elizabeth Sobol |
Corporate Officer | Jul 1, 2023 | |
| Saratoga Care, Inc. |
Operational/Managerial Control | Jan 1, 2017 | |
| Dwane Sterling |
Corporate Officer | Jul 1, 2023 | |
| Marianne a Mustafa |
Corporate Officer |
Jan 1, 2017 | |
| David Collins |
Corporate Officer | Jan 1, 2020 | |
| Kari Cushing |
Corporate Officer | Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000003 | NY | Part a Provider - Hospital | 6406740273 |
17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20040402000837 | NY | Part B Supplier - Clinic/Group Practice | 6406740273 |
Receives reassigned benefits from 613 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saratoga Springs, NY; Schuylerville, NY; Wilton, NY; Queensbury, NY; Saratoga, NY; Ballston Spa, NY; Galway, NY; Gansevoort, NY… |
National Provider Directory
- Part of
- Manuel Astruc MD
Locations
6 Medical Park Dr
Ste 200
Malta, NY 12020
Phone (518) 289-2717
24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
112 Charlton Rd
Ballston Lake, NY 12019-2547
Mailing address
PO Box 412655
Boston, MA 02241-2655
Other names
- SCOTIA GLENVILLE FAMILY PHYSICIANS
Other providers in Ballston Lake, NY
- Mark L Roschinsky
- Caitlin Ross
- Julia Kristine Rutherford
- Megan Rae Ryan
- Mary Jo Salomon
- Saratoga Hospital
- Scotia Glenville Family Medicine, P.C.
- Sara Renee Scully
- Natalia Selyuzhitski
- Margaret Peck Smith
All providers in Ballston Lake, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.