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

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.

Hospital & facility affiliations 3

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

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 (11 clinicians)

Practice addresses (Care Compare)

5 Irongate Ctr
Glens Falls, NY 12801-3471
Phone (518) 793-5034

Hospital & facility affiliations

  • Glens Falls Hospital Hospital · Glens Falls, NY · CCN 330191
  • Elizabethtown Community Hospital Hospital · Elizabethtown, NY · CCN 331302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy123
Upper gastrointestinal (GI) endoscopy for acid reflux124

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 IDStateProvider typePAC IDDetails
I20220705000034 NY Practitioner - Gastroenterology 9133465560 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63806NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern New York PC Gastroenterology Current
since Aug 7, 2022
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

  • Direct secure messaging: mary.strader@giany.directbygreenway.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2022.

{
    "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

All providers in Glens Falls, NY · Gastroenterology Physician in New York

Sources for this page

Verify at the official NPI Registry.