OrganizationActive
Samaritan Hospital of Troy, New York
NPI 1912480971 · Family Medicine Physician · Stillwater, NY
Provider details
- NPI number
- 1912480971
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Samaritan Hospital of Troy, New York
- Organization subpart
- Yes
- Authorized official
- Courtney Knowles, Credentialing Manager(518) 525-5634
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- General Acute Care Hospital282N00000X
Hospitals
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Hudson Avenue
Stillwater, NY 12170-3439
Phone: (518) 664-3242
Street-level locationGet directions
Mailing address
Po Box 14890
Albany, NY 12212-4890
Other names (DBA / former)
- Other name
- Stillwater Family Health Center
Registry dates
- Enumerated
- 2018-09-14
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.