Northern Ec LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHERN EC LLC

Practice address

5 Irongate Ctr
Glens Falls, NY 12801-3471

Phone

(518) 745-5423

Fax

(518) 745-5424

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Herlihy, M.D.NPI 1891790101

Title

Managing Physician

Phone

(518) 793-5034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Northern Ec LLCCCN 33C0001161

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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.

• Kevin J Herlihy, MD

  • Gastroenterology Physician
  • Glens Falls, NY
  • NPI 1891790101
  Authorized official Same address or phone
• William Bauer, MD

  • Gastroenterology Physician
  • Glens Falls, NY
  • NPI 1568467918
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1629461934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 IRONGATE CTR",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-745-5423",
            "fax_number": "518-745-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 IRONGATE CTR",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-745-5423",
            "fax_number": "518-745-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN EC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "HERLIHY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "518-793-5034",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Neurosurgical Associates PC
• North Country Vascular Diagnostics, Inc
• James North, MD
• Northeast Surgical Specialists, PLLC
• Northeastern Radiation Oncology
• Northern New York Physician Services PLLC
• Ashley Novak, PA-C
• Vanessa Marie Nyblom
• Morgan K O'Donnell
• Kathryn O'Keeffe, M.D.

• Ambulatory Surgical Clinic/Center in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.