Theodore S Pabst Iii
LBN: Champlain Valley Vascular Surgery
Theodore S Pabst Iii is an health care organization with primary practice located at 24 Hammond Lane , Plattsburgh NY 12901. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty.
Champlain Valley Vascular Surgery can be contacted via phone (518) 562-7557, or through Pabst, Theodore Shuster via phone (518) 562-7557.
Contact Information
Primary practice address
24 Hammond Lane
Plattsburgh NY 12901
Phone: (518) 562-7557
Fax: (518) 562-7559
Website:
Authorized official contact:
Name: Pabst, Theodore Shuster Doctor of Medicine (MD)
Phone: (518) 562-7557
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 203101-1 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 187640-1 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X |
Profile Details
| NPI number | 1528208881 |
|---|---|
| LBN Legal business name | Champlain Valley Vascular Surgery |
| DBA Doing business as | Theodore S Pabst Iii |
| Authorized official | Pabst, Theodore Shuster Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2009 |
| Last updated | Mar 3rd, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528208881 | NPPES |
| New York | MEDICAID | 01972430 | |
| New York | MEDICAID | 04556089 | |
| New York | MEDICAID | 01276613 |
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