Organization Active NPI

Evolving Treatment Medical Services, PLLC

  • Primary Care Clinic/Center
  • Saratoga Springs, NY
National Provider Identifier
1942965116
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EVOLVING TREATMENT MEDICAL SERVICES, PLLC
Practice address
3 Care LN Ste 100
Saratoga Springs, NY 12866-8636
Phone
(518) 290-1195
Fax
(518) 480-2195
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Dr. Harry David Lindman, D.O.NPI 1427077429
Title
Physician/Owner
Phone
(518) 290-1195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3 Care LN Ste 100
Saratoga Springs, NY 12866-8636

Mailing address

3 Care LN Ste 100
Saratoga Springs, NY 12866-8636
Phone (518) 290-1195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211221000310 NY Part B Supplier - Clinic/Group Practice 3971994245 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga Springs, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2251126Evolving Treatment Medical Services PLLC3 Care Lane Suite 100 RM 155, 167, Saratoga Springs, NY 12866Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24799/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1942965116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CARE LN STE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668636",
            "telephone_number": "518-290-1195",
            "fax_number": "518-480-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARE LN STE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668636",
            "telephone_number": "518-290-1195",
            "fax_number": "518-480-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING TREATMENT MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "LINDMAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "518-290-1195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.