NPIMap

Organization Active NPI

Columbia Emergency Services, PC

  • Emergency Medicine Physician
  • Hudson, NY
National Provider Identifier
1467401265
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
COLUMBIA EMERGENCY SERVICES, PC
Practice address
71 Prospect Ave
Hudson, NY 12534-2907
Phone
(518) 828-7601
NPI assigned
May 9, 2006
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
John G Keene, M.D.
Title
President and Ceo
Phone
(518) 751-1016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

71 Prospect Ave
Hudson, NY 12534-2907

Mailing address

30 Prospect Ave FL 1
C/O Emergency Treatment Associates
Hudson, NY 12534-2908
Phone (518) 751-1016

Other identifiers 1

IdentifierTypeStateIssuer
01124092MedicaidNY

National Provider Directory

National Provider Directory

Locations

30 Prospect Ave
Fl 1
Hudson, NY 12534
Phone (518) 751-1016

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1467401265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE FL 1",
            "address_2": "C/O EMERGENCY TREATMENT ASSOCIATES",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342908",
            "telephone_number": "518-751-1016",
            "fax_number": "518-751-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342907",
            "telephone_number": "518-828-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA EMERGENCY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT AND  CEO",
        "authorized_official_telephone_number": "518-751-1016",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01124092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.