Individual provider Active NPI

Nancy A Girard, DO

  • Family Medicine Physician
  • Alexandria Bay, NY
National Provider Identifier
1689673378
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188587 Issued in NY
Practice address
2 Market St
Pob 129
Alexandria Bay, NY 13607-1317
Phone
(315) 482-5404
Fax
(315) 482-6265
NPI assigned
Jul 15, 2005
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 188587 NY Primary

Addresses

Primary practice location

2 Market St
Pob 129
Alexandria Bay, NY 13607-1317

Mailing address

2 Market St
Pob 129
Alexandria Bay, NY 13607-1317
Phone (315) 482-5404

Other identifiers 2

IdentifierTypeStateIssuer
01480780MedicaidNY
J300073782OtherNYPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000422 NY Practitioner - Family Practice 4486819653 Practice locations: Alexandria Bay, NY; Gouverneur, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

137 E Main St
Gouverneur, NY 13642-1714
Phone (315) 287-4950

42975 Nys RT
Suite 12
Alexandria Bay, NY 13607-0129
Phone (315) 482-5404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy a. Girard DO PC Family Medicine Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1689673378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARKET ST",
            "address_2": "POB 129",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071317",
            "telephone_number": "315-482-5404",
            "fax_number": "315-482-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARKET ST",
            "address_2": "POB 129",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071317",
            "telephone_number": "315-482-5404",
            "fax_number": "315-482-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "188587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01480780",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "J300073782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria Bay, NY

Sources for this page

Verify at the official NPI Registry.