Robert Emanuel Nordberg Jr, MD | |
50 Leroy St, Potsdam, NY 13676-1786 | |
(315) 265-3300 | |
Not Available |
Full Name | Robert Emanuel Nordberg Jr |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 50 Leroy St, Potsdam, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568497840 | NPI | - | NPPES |
01013010 | Medicaid | NY | |
001018200 | Other | BLUE CROSS BLUE SHIELD | |
1182880 | Other | NY | WORKERS COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 118288 (New York) | Primary |
Entity Name | Canton-potsdam Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Entity Name | Massena Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
Mailing Address | Practice Location Address |
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Robert Emanuel Nordberg Jr, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 | Robert Emanuel Nordberg Jr, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 |
Jillian Bartling, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Dr. Shockpin C Chungfat, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 74 Market St, Potsdam, NY 13676 Phone: 315-265-3108 Fax: 315-265-8290 | |
Dr. Gwen Lindsey Bonner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-379-0849 | |
Dr. Apostolos Kandilis, MD Surgery Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Jasvinder Singh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 914-525-0545 | |
Jay V Dewell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Cottage St Ste A, Potsdam, NY 13676 Phone: 315-261-4472 Fax: 315-261-4644 |