| Adirondack Medical Center - Physician | |
|
2233 State Route 86 Saranac Lake NY 12983-5644 | |
| (518) 891-4141 | |
| (518) 897-2423 |
| Full Name | Adirondack Medical Center - Physician |
|---|---|
| Speciality | General Practice |
| Location | 2233 State Route 86, Saranac Lake, New York |
| Authorized Official Name and Position | Adele Pickreign (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5188974725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adirondack Medical Center - Physician Po Box 1380 Attn: Provider Enrollment Saranac Lake NY 12983 Ph: (518) 897-4725 | Adirondack Medical Center - Physician 2233 State Route 86 Saranac Lake NY 12983-5644 Ph: (518) 891-4141 |
| NPI Number | 1245446533 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 9638081284 |
|---|---|
| Medicare Enrollment ID | O20031103000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245446533 | NPI | - | NPPES |
| 00363213 | Medicaid | NY |
| Provider Name | John A Esper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932272044 PECOS PAC ID: 1557344777 Enrollment ID: I20040609001049 |
| Provider Name | Steven C Samuels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679623797 PECOS PAC ID: 3072506443 Enrollment ID: I20040712000343 |
| Provider Name | Cristina A Trutia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710995527 PECOS PAC ID: 3971576216 Enrollment ID: I20040816000857 |
| Provider Name | Jeffrey Baruch Shoub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194878793 PECOS PAC ID: 6305811274 Enrollment ID: I20040902000076 |
| Provider Name | John W Decker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407827207 PECOS PAC ID: 1254392798 Enrollment ID: I20041019000938 |
| Provider Name | Jamie Lyn Masson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962404871 PECOS PAC ID: 8729055801 Enrollment ID: I20050328000922 |
| Provider Name | Mario Tagliagambe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407906969 PECOS PAC ID: 0042267593 Enrollment ID: I20050406000723 |
| Provider Name | Claude R Roland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932191079 PECOS PAC ID: 1153220637 Enrollment ID: I20050524000584 |
| Provider Name | Jeffrey A Greenhouse |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790770048 PECOS PAC ID: 2567418197 Enrollment ID: I20050711000649 |
| Provider Name | Laura C Llinas Lux |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962434126 PECOS PAC ID: 4385640713 Enrollment ID: I20061009000060 |
| Provider Name | Irwin M Lieb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447242920 PECOS PAC ID: 7517866098 Enrollment ID: I20070212000580 |
| Provider Name | Michael W Lynch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538247580 PECOS PAC ID: 8628089430 Enrollment ID: I20070906000017 |
| Provider Name | Karen Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780632869 PECOS PAC ID: 0244313542 Enrollment ID: I20080211000081 |
| Provider Name | Mia Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841311156 PECOS PAC ID: 2769545177 Enrollment ID: I20090112000439 |
| Provider Name | Anthony F Tramontano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043397656 PECOS PAC ID: 4183764558 Enrollment ID: I20091215000463 |
| Provider Name | David Mastrianni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417954264 PECOS PAC ID: 3173590445 Enrollment ID: I20100323000720 |
| Provider Name | Steven James Sonnenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669448668 PECOS PAC ID: 4183750011 Enrollment ID: I20100331000042 |
| Provider Name | Elizabeth A Bartos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942353255 PECOS PAC ID: 5890810782 Enrollment ID: I20100915001016 |
| Provider Name | Darci A Beiras |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003930470 PECOS PAC ID: 7214053305 Enrollment ID: I20100927000478 |
| Provider Name | Paul G El Azoury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225219884 PECOS PAC ID: 2163615626 Enrollment ID: I20101018000576 |
| Provider Name | Denis Valentin Kapkov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043466022 PECOS PAC ID: 3476747700 Enrollment ID: I20101101000905 |
| Provider Name | Mary J Rooks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326054362 PECOS PAC ID: 4082895453 Enrollment ID: I20110218000611 |
| Provider Name | Craig G Hurwitz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396758520 PECOS PAC ID: 8729261144 Enrollment ID: I20110323000182 |
| Provider Name | Michael J Dinkels |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043457674 PECOS PAC ID: 1557544756 Enrollment ID: I20110325000282 |
| Provider Name | Michele A Mannion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083896906 PECOS PAC ID: 0648464743 Enrollment ID: I20110415000199 |
| Provider Name | Jeffrey A Dodge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114993482 PECOS PAC ID: 6608817473 Enrollment ID: I20110419000822 |
| Provider Name | Adam J Abodeely |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1417175522 PECOS PAC ID: 9133305287 Enrollment ID: I20110525000592 |
| Provider Name | Jonathan V Riddell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922391077 PECOS PAC ID: 4789861204 Enrollment ID: I20110610000171 |
| Provider Name | Tracey A Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013188754 PECOS PAC ID: 1850578188 Enrollment ID: I20110614000108 |
| Provider Name | Andrei Cepoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043492127 PECOS PAC ID: 2163575564 Enrollment ID: I20110727000576 |
| Provider Name | Morris Kopels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699849687 PECOS PAC ID: 8325218712 Enrollment ID: I20110822000318 |
| Provider Name | Michael Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104818244 PECOS PAC ID: 0345149829 Enrollment ID: I20111006000715 |
| Provider Name | Sara F Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801188289 PECOS PAC ID: 7810160447 Enrollment ID: I20111027000123 |
| Provider Name | Tracey A Viola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679732473 PECOS PAC ID: 4385890656 Enrollment ID: I20120802000423 |
| Provider Name | Eve M Burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548407562 PECOS PAC ID: 0840448247 Enrollment ID: I20120910000346 |
| Provider Name | Cassie L Baillargeon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205148020 PECOS PAC ID: 2062658677 Enrollment ID: I20130425000580 |
| Provider Name | Ananth Adurthy Shankar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811153695 PECOS PAC ID: 8022242932 Enrollment ID: I20131009000081 |
| Provider Name | Frederic Laporte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093085433 PECOS PAC ID: 2466676556 Enrollment ID: I20140611000537 |
| Provider Name | Eric W Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447541271 PECOS PAC ID: 2668699893 Enrollment ID: I20140813000030 |
| Provider Name | James Webster Pate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639311277 PECOS PAC ID: 0446471965 Enrollment ID: I20141028000085 |
| Provider Name | Rebecca R Snickles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225445372 PECOS PAC ID: 1153643051 Enrollment ID: I20141204000026 |
| Provider Name | Michael R Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215916234 PECOS PAC ID: 3678465556 Enrollment ID: I20150120000148 |
| Provider Name | Lindsey B Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023377843 PECOS PAC ID: 6901115278 Enrollment ID: I20151028000306 |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20160531002318 |
| Provider Name | Dianna N Bryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225337603 PECOS PAC ID: 9436371044 Enrollment ID: I20161220000797 |
| Provider Name | Joni Kristina Gerken |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003359001 PECOS PAC ID: 1254612716 Enrollment ID: I20161222000054 |
| Provider Name | Emily Szczech |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801181938 PECOS PAC ID: 4385930585 Enrollment ID: I20170821001828 |
| Provider Name | Askar Mehdi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750634788 PECOS PAC ID: 9234420720 Enrollment ID: I20170920002968 |
| Provider Name | Henri Gaboriau |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225061849 PECOS PAC ID: 5890685598 Enrollment ID: I20171017002943 |
| Provider Name | Olga Voronel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235498569 PECOS PAC ID: 8820389448 Enrollment ID: I20180625002097 |
| Provider Name | Sarah C Mader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689060204 PECOS PAC ID: 7810297660 Enrollment ID: I20180905000057 |
| Provider Name | Devon Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558857763 PECOS PAC ID: 7719239888 Enrollment ID: I20181018000488 |
| Provider Name | David M Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588635999 PECOS PAC ID: 3476508680 Enrollment ID: I20190222001089 |
| Provider Name | Amy S Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902155880 PECOS PAC ID: 9032363999 Enrollment ID: I20190322001008 |
| Provider Name | Jennifer H Phelabaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416035 PECOS PAC ID: 3476888462 Enrollment ID: I20190712001962 |
| Provider Name | Marcie Dann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922649847 PECOS PAC ID: 4183058407 Enrollment ID: I20191219001568 |
| Provider Name | Sarah Elizabeth Updegraft |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033340443 PECOS PAC ID: 1850713694 Enrollment ID: I20200624000091 |
| Provider Name | Amy B Corliss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194750539 PECOS PAC ID: 2163426990 Enrollment ID: I20201104001011 |
| Provider Name | Yasmine E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760894844 PECOS PAC ID: 5496972721 Enrollment ID: I20210301000850 |
| Provider Name | Eugene Aprn Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154903789 PECOS PAC ID: 3072901479 Enrollment ID: I20211103001442 |
| Provider Name | John G Koutras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528154697 PECOS PAC ID: 2062496110 Enrollment ID: I20221123001902 |
| Provider Name | Steven Gary Fein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437146552 PECOS PAC ID: 7113963836 Enrollment ID: I20221205002510 |
| Provider Name | Holli R.w. Edgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275254153 PECOS PAC ID: 8224407747 Enrollment ID: I20221206000263 |
| Provider Name | Ayla Kessler |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437359585 PECOS PAC ID: 8426196601 Enrollment ID: I20221228000963 |
| Provider Name | Christopher D Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174253231 PECOS PAC ID: 8426428814 Enrollment ID: I20221229000809 |
| Provider Name | Haley Mae Del Duca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932820917 PECOS PAC ID: 6002287885 Enrollment ID: I20230116000874 |
| Provider Name | Tariq Alfarra |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1447757018 PECOS PAC ID: 7719367382 Enrollment ID: I20231102002355 |
| Provider Name | Mairin Jerome |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356738983 PECOS PAC ID: 1759718505 Enrollment ID: I20231215002414 |
Stephanie Dell'aquila Stevens, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Woodruff St, Saranac Lake, NY 12983 Phone: 518-637-5134 | |
Adirondack Community Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Bernard Street, Saranac Lake, NY 12983 Phone: 518-420-6023 | |
St Josephs Addiction Treatment & Recovery Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Glenwood Dr, Saranac Lake, NY 12983 Phone: 518-891-3950 Fax: 518-891-6134 | |
Adirondack Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2233 State Route 86, Colby Center, Saranac Lake, NY 12983 Phone: 518-897-2351 Fax: 518-897-2868 | |
Michael Cochran Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Clinton Ave Apt 2, Saranac Lake, NY 12983 Phone: 518-524-4955 |