Individual provider Active NPI

Suzanne J Barth, PA-C

  • Physician Assistant
  • Glens Falls, NY
National Provider Identifier
1871575605
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003715 Issued in NY
Practice address
38 Larose St
Glens Falls, NY 12801-3452
Phone
(518) 824-8181
Fax
(833) 819-0268
NPI assigned
Nov 17, 2005
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003715 NY Primary

Addresses

Primary practice location

38 Larose St
Glens Falls, NY 12801-3452

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961

Other identifiers 1

IdentifierTypeStateIssuer
01469492MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address suzanne.barth.1@1823.direct.athenahealth.com
Direct Messaging Address suzanne.barth.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520001384 NY Practitioner - Physician Assistant 9739170408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961

24 Fairfield Ave
Schroon Lake, NY 12870-0292
Phone (518) 532-7120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Physician Assistant CurrentSince Sep 2, 2014 Accepting new patients
Hudson Headwaters Health Network Physician Assistant CurrentSince Sep 2, 2014 Accepting new patients

Locations

1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961

38 Larose St
Glens Falls, NY 12801
Phone (518) 824-8181

161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011

9 Carey Rd
Queensbury, NY 12804

Interoperability endpoints

  • Direct secure messaging: suzanne.barth.1@1823.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1871575605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAROSE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013452",
            "telephone_number": "518-824-8181",
            "fax_number": "833-819-0268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Route 9",
            "address_purpose": "LOCATION",
            "city": "Gansevoort",
            "state": "NY",
            "postal_code": "128311560",
            "country_code": "US",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTH",
        "first_name": "SUZANNE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01469492",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.barth.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.barth.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "38 Larose St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128013452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.