Samuel Richard Spitzer, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

082869 Issued in NY

Practice address

42 Gurney LN
Queensbury, NY 12804-8250

Phone

(518) 761-6540

Fax

(518) 761-6590

NPI assigned

Mar 1, 2007

Last updated

Aug 25, 2008By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• CLR Glens Falls LLC

  dba Glens Falls Center for Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Glens Falls, NY
  • NPI 1013443498
  NPD (past)
• Glens Falls Nursing and Rehabilitation Center LLC

  dba The Stanton Nursing and Rehabilitation Centre

  • Skilled Nursing Facility
  • Glens Falls, NY
  • NPI 1518903517
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1851429849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SHERIDAN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012626",
            "telephone_number": "518-792-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GURNEY LN",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048250",
            "telephone_number": "518-761-6540",
            "fax_number": "518-761-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "SAMUEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "082869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00630039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel L Solomon, MD
• Steven M Solomon, MD
• Danushan Sooriabalan, MD
• Southern Adirondack Family Health-NP, PLLC (Southern Adirondack Family Health-NP)
• Amanda Marie Spaulding, MHC
• Leeanne A Sprague
• St. Peter's Health Partners Medical Associates, P.C.
• Kristin K Starling-Doty, DPT
• Shaleen M Stavers, P.T.
• Bryan Mathew Steele, D.C

• Geriatric Medicine (Family Medicine) Physician in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.