Michelle Young Giwerc, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021815 Issued in NY

Practice address

43 New Scotland Ave # 7
Albany, NY 12208-3412

Phone

(518) 262-6696

Fax

(518) 262-2624

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Athletic Dynamics LLC

  • Physical Therapy Clinic/Center
  • Albany, NY
  • NPI 1912966409
  NPD (past)
• Burdett Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Troy, NY
  • NPI 1801816327
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1780182980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 ROUTE 146 STE 101",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653239",
            "telephone_number": "518-373-3924",
            "fax_number": "518-373-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE # 7",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-6696",
            "fax_number": "518-262-2624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Patroon Creek Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122065015",
            "country_code": "US",
            "telephone_number": "518-489-0044",
            "fax_number": "518-489-3591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIWERC",
        "first_name": "MICHELLE",
        "middle_name": "YOUNG",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001223",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05114925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Giramonti
• Katelynn Michelle Giroux, MD
• David W. Girvan, CRNA
• Caitlyn M Giudici, MPT
• Carmen Giuliano, MD
• Vasil Gjeloshi
• Grenita Gjyriqi, DO
• Krzysztof A Glab, MD
• Lewis A. Glaser, D.O.
• Lisa Ann Glasheen

• All providers in Albany, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.