Organization
CHAMPLAIN PAIN RELIEF AND NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN CELESTE GAUGHAN MD (OWNER)
(518) 566-8603
Entity
Organization
Contact information
Practice address
159 MARGARET STREET, SUITE 500, PLATTSBURGH, NY 12901
(518) 566-8603
(518) 566-8582
Mailing address
159 MARGARET STREET, SUITE 500, PLATTSBURGH, NY 12901
(518) 566-8603
(518) 566-8582
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
213308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000495471003
BLUE SHIELD OF NENY
NY
05
—
01998998
—
NY
01
—
110639300
USDOL
NY
01
—
130023170
RRMCR
NY
01
—
2033749
AETNA
NY
01
—
698338
MVP
NY
01
—
8C1231
BLUE CROSS BLUE SHIELD
NY
01
—
P010213308
EXCELLUS BC BS
NY
Enumeration date
03/06/2007
Last updated
09/26/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us