Organization
NORTH COUNTRY ORTHOPAEDIC GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE L BAIRD (DIRECTOR/OFFICER)
(315) 782-1650
Entity
Organization
Contact information
Practice address
1571 WASHINGTON ST, SUITE 201, WATERTOWN, NY 13601-9304
(315) 782-1650
(315) 788-8547
Mailing address
1571 WASHINGTON ST, SUITE 201, WATERTOWN, NY 13601-9304
(315) 782-1650
(315) 788-8547
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
261QP1100X
Podiatric Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00574887
—
NY
01
—
0315680001
DMERC
—
Enumeration date
11/25/2005
Last updated
11/02/2023
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