Joel H. Stretch, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

02295-1 Issued in NY

Practice address

1927 Saranac Ave
Lake Placid, NY 12946-1172

Phone

(518) 523-7575

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Medical Services

  • Specialist
  • Saranac Lake, NY
  • NPI 1871645705
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861577850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 FLETCHER FARM RD",
            "city": "VERMONTVILLE",
            "state": "NY",
            "postal_code": "129893521",
            "telephone_number": "518-891-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 SARANAC AVE",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461172",
            "telephone_number": "518-523-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRETCH",
        "first_name": "JOEL",
        "middle_name": "H.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "02295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Steven Smith, ATC
• William James Smith, MD
• Sharon Marie Sommers, MS
• Bradford A Stephens, MD
• Elise Stosiek, R.N. BSN
• Bartlomiej Wojciech Szczech, M.D.
• Sarah M Thompson, MD
• Beth Ann Tremblay, OTR/L
• Kimberly Joy Verstringhe, L.AC.
• Tracey A Viola, D.O.

• Physician Assistant in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.