Mary Strader, MD
Individual provider Active NPI Gastroenterology Physician · Glens Falls, NY
NPI 1831553593 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1831553593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 315736 (NY)
- Practice address
- Five Irongate Center
Dept. of Medicine
Glens Falls, NY 12801 - Phone
- (518) 793-5034
- NPI assigned
- Apr 8, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- State University of Ny Upstate Medical University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastroenterology Associates of Northern New York PC
Practice addresses (Care Compare)
5 Irongate Ctr
Glens Falls, NY 12801-3471
Phone (518) 793-5034
Hospital & facility affiliations
- Glens Falls Hospital
- Elizabethtown Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 123 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 124 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220705000034 | NY | Practitioner - Gastroenterology | 9133465560 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63806 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Northern New York PC | Gastroenterology | Current |
Accepting new patients |
| Orthopedic & Spine Physical Therapy PC | Past | Accepting new patients |
Locations
1391 Route 9
Fort Edward, NY 12828
Phone (518) 793-0891
5 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 745-5423
Interoperability endpoints
- mary.strader@giany.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 63806 | NY | |
| Gastroenterology Physician | 207RG0100X | 315736 | NY | Yes |
Addresses
Primary practice location
Five Irongate Center
Dept. of Medicine
Glens Falls, NY 12801
Mailing address
Five Irongate Center
Glens Falls, NY 12801
Phone (518) 793-5034
NPI Registry JSON
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1831553593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FIVE IRONGATE CENTER",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-793-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIVE IRONGATE CENTER",
"address_2": "DEPT. OF MEDICINE",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-793-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRADER",
"first_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "63806",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "315736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
- Anni Taylor Stewart
- Courtney J Stewart
- Mackenzie Stewart
- Denise Margaret Stockwell
- John Patrick Stoutenburg
- Jordan Strand
- Tamra Lynn Streeter
- Kari Lynn Sudfeld
- Linda J Sugent
- Bridget Sullivan
All providers in Glens Falls, NY · Gastroenterology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.