Alexander Racicot, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018497 Issued in NY

Practice address

1942 Military Tpke
Plattsburgh, NY 12901-7375

Phone

(518) 310-3644

Fax

(518) 310-3645

NPI assigned

Mar 9, 2015

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782

  Physician Assistant

  Medicare reassignment NPD
• Kristin Ambler, M.D.

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1407937485
  Medicare reassignment

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1902299423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017375",
            "telephone_number": "518-310-3644",
            "fax_number": "518-310-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017375",
            "telephone_number": "518-310-3644",
            "fax_number": "518-310-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACICOT",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viqar A Qudsi, MD
• Susan Quinn, R.PH.
• Alexander Christian Rabideau, PA
• Kayla Rabideau, MSN, PMHNP
• Michelle Margaret Rabideau, LPN
• Dennis Evgenyevich Radoshkevich, M.D.
• Lara Ragab
• Rainbow Pediatrics & Adolescent Medicine
• Piratheep Rajan, M.D.
• Randy S Stoloff MD Adult & Pediatric Asthma & Allery PLLC

• Physician Assistant in Plattsburgh, NY
• Providers in Plattsburgh, 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 Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.