Eileen M Spillane, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

181065 Issued in NY

Practice address

1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074

Phone

(518) 348-3176

NPI assigned

Feb 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: espillane@landmarkhealth-direct.org

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1477528537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TROY SCHENECTADY RD STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101074",
            "telephone_number": "518-348-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Poultney Street",
            "address_2": "Whitehall Medical Center",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "NY",
            "postal_code": "128871543",
            "country_code": "US",
            "telephone_number": "518-499-2444",
            "fax_number": "518-499-0317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 North St",
            "address_2": "Granville Medical Center",
            "address_purpose": "LOCATION",
            "city": "Granville",
            "state": "NY",
            "postal_code": "128321137",
            "country_code": "US",
            "telephone_number": "518-642-0612",
            "fax_number": "518-642-0693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPILLANE",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "181065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01358112",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eileen.spillane@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "79 North St",
            "address_2": "Granville Family Health",
            "city": "Granville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128321137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eileen.spillane@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "65 Poultney Street",
            "address_2": "Whitehall Medical Center",
            "city": "Whitehall",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128871543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Sorrentino
• Sparc Latham
• Disha Chhabra Spath, M.D.
• Boris Spektor, M.D.
• Taylor Reese Spencer, M.D.
• Danielle Spooner, PT
• Lauren Sprague, OT
• April Marie St. Peter, FNP
• St. Peter'S Health Care
• St. Peter'S Health Partners Medical Associates, P.C.

• Family Medicine Physician in Latham, NY
• Providers in Latham, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.