CMS-1500 Box 24J / 33a • NPI
1841732765
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207V00000X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
46 BROAD ST STE A, PLATTSBURGH, NY, 12901-3301
✓ 9-Digit EDI 837 ZIP+4 (12901-3301)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1841732765 (ADIRONDACK HEALTH REGIONAL MEDICAL, P.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1841732765 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADIRONDACK HEALTH REGIONAL MEDICAL, P.C. |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 207V00000X (Obstetrics & Gynecology) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 46 BROAD ST STE A, PLATTSBURGH, NY, 12901-3301 |
| Practice Telephone / Fax | Tel: (518) 566-9452 | Fax: (518) 566-9831 |
| Administrative Mailing Address | 2233 STATE ROUTE 86, SARANAC LAKE, NY, 12983-5644 |
| Enumeration & Last Sync | Enumerated: 2016-11-09 | CMS Record Updated: 2025-09-10 |
| Authorized Official | IRWIN LIEB (Chief Medical Officer) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207V00000X)
What Does Taxonomy Code 207V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADIRONDACK HEALTH REGIONAL MEDICAL, P.C.)
Typical CPT / Diagnostic Procedures:- Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
- Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
- Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
- Prenatal Folic Acid, Iron & Progesterone Supplementation
- Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
- Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
176B00000X — MidwifePlain English: Licensed & Credentialed Midwife | State: N/A | License: Verified | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: N/A | License: Verified | Primary: Secondary |
367A00000X — Advanced Practice MidwifePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse | State: N/A | License: Verified | Primary: Secondary |
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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