David H Antecol, MD
Individual provider Active NPI Cardiovascular Disease Physician · Watertown, NY
NPI 1992783344 · NPPES record last updated Feb 25, 2015
Key facts
- NPI
- 1992783344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 2090561 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carthage Area Hospital Inc
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
- Carthage Area Hospital, Inc
- SLHS Massena, Inc
- River Hospital Clinics
- Canton-Potsdam Hospital
- Samaritan Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116000394 | NY | Practitioner - Internal Medicine |
9739104506 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090561 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| North Medical PC | Current | Accepting new patients | |
| Samaritan Medical Center | Current |
Accepting new patients | |
| Carthage Area Hospital Inc | Current |
Accepting new patients | |
| Claxton-Hepburn Medical Center | Current |
Accepting new patients | |
| Cardiac Imaging Inc | Current |
Accepting new patients | |
| St Josephs Medical PC | Current |
Accepting new patients | |
| Carthage Area Hospital, Inc. | Current |
Accepting new patients | |
| Carthage Area Hospital Inc. | Past | 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) 713-5660
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
19436 Howell Dr
Ste A
Watertown, NY 13601
Phone (315) 786-2000
165 Coleman Ave
Watertown, NY 13601
Phone (315) 755-2024
Interoperability endpoints
- dantecol@cahclinics.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2090561 | NY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01658391 | Medicaid | NY |
Other providers in Watertown, NY
- Andrea E Amyot
- Jennifer Leanne Anderson
- Jennifer Lee Andrews
- Angel'S Inn
- Dawn M Angello
- Aqua Dental PC
- John Arber
- Lilia Arellano
- Ariana Brooks-James, MD, LLC
- Erin Helen Arndt
All providers in Watertown, NY · Cardiovascular Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.