NPIMap

Individual provider Active NPI

David H Antecol, MD

  • Cardiovascular Disease Physician
  • Watertown, NY
National Provider Identifier
1992783344
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2090561 Issued in NY
Practice address
19436 Howell Dr
Suite a
Watertown, NY 13601-6459
Phone
(315) 786-2000
Fax
(315) 786-2899
NPI assigned
Jan 5, 2006
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2090561 NY Primary

Addresses

Primary practice location

19436 Howell Dr
Suite a
Watertown, NY 13601-6459

Mailing address

19436 Howell Dr
Suite a
Watertown, NY 13601-6459
Phone (315) 786-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000394 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9739104506 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

Practice addresses (Care Compare)

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

214 King St
Suite a
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2090561NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Mar 7, 2025 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Cardiac Imaging Inc CurrentSince Apr 7, 2023 Accepting new patients
Samaritan Medical Center CurrentSince Jan 10, 2023 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Mar 7, 2025 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Dec 1, 2023 Accepting new patients
St Josephs Medical PC CurrentSince Jul 1, 2022 Accepting new patients
North Medical PC Current Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 324-5941

165 Coleman Ave
Watertown, NY 13601
Phone (315) 755-2024

19436 Howell Dr
Ste A
Watertown, NY 13601
Phone (315) 786-2000

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Interoperability endpoints

  • Direct secure messaging: dantecol@cahclinics.medentdirect.com

Organizations & group practices 10

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 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1992783344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19436 HOWELL DR",
            "address_2": "SUITE A",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016459",
            "telephone_number": "315-786-2000",
            "fax_number": "315-786-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19436 HOWELL DR",
            "address_2": "SUITE A",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016459",
            "telephone_number": "315-786-2000",
            "fax_number": "315-786-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTECOL",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "2090561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.