Jacques Piche, M.D., F.R.S.C. (C)

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

219568-1 Issued in NY

Practice address

10 Healey Ave
Plattsburgh, NY 12901-2413

Phone

(518) 566-7930

Fax

(518) 566-7932

NPI assigned

Jan 24, 2006

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 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Plattsburgh ENT

  • Otolaryngology Physician
  • Plattsburgh, NY
  • NPI 1093446262
  NPD
• Associates in Radiology of Plattsburgh Ny PC

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
  • NPI 1588617625
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1922078997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HEALEY AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012413",
            "telephone_number": "518-566-7930",
            "fax_number": "518-566-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEALEY AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012413",
            "telephone_number": "518-566-7930",
            "fax_number": "518-566-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHE",
        "first_name": "JACQUES",
        "credential": "M.D., F.R.S.C. (C)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "219568-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NORTHEASTERN",
            "identifier": "000499084001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02203029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "141828127",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5R609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda M. Phillips, MD
• Brigitte Louise Phillips, M.S.
• Dove Phillips, LMHC, ATR-BC
• Michael Edward Phillips, MD
• Robert E. Phillips, A.B.O.C.
• Jennifer Barbara Pierce, PHARM.D., R.PH.
• Nicole Pierce, RN
• Roseanna F Pierce, OT
• Tyler Pierotti, MD
• Brenda Jean Pinson, ARNP

• Otolaryngology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.