Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972517837 Individual Practitioner Male Practitioner

Dr. Gregory W Runkel , MD

Pediatrics • Ticonderoga, NY

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Runkel, MD is a registered healthcare professional specializing in Pediatrics in Ticonderoga, NY. Practice services are available at 102 RACE TRACK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Race Track Rd
Suite 1

Ticonderoga, NY 128834004

Telephone 5185856708
Fax 5185853260
Associated Practice Facility / Clinic
🏢 Optics Ltd Facility NPI 1447319421

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ticonderoga, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Ticonderoga, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 192862

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01700283 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1013595560

Doctor of Medicine (M.D.)

Dr. Glen Chapman , MD

Family Medicine

NPI 1073527727

Doctor of Medicine (M.D.)

Robert Berrick , RPA-C

Physician Assistant

NPI 1093746372

RPAC

Dr. Nicholas Montello , DNP FNP

Nurse Practitioner - Family

NPI 1184285751

DNPFNP

Rachel Satter , PA-C

Physician Assistant

NPI 1215634175

Physician Assistant (Certified)

Dorian Gossy , LCSW

Social Worker - Clinical

NPI 1235399064

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 01, 2017

Registered at 9 CAREY RD, QUEENSBURY, NY 128047880 (Tel: 5187610300)

📍
Updated Practice Location February 01, 2017

Registered at 102 RACE TRACK RD, SUITE 1, TICONDEROGA, NY 128834004 (Tel: 5185856708)

👤
Provider Name / Credentials Updated February 01, 2017

Recorded as GREGORY RUNKEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Pediatrics (License #192862 in NY)

NPI Profile Active July 31, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2008

Registered at 102 RACE TRACK RD, SUITE 1, TICONDEROGA, NY 128834004 (Tel: 5185856708)

📍
Updated Business Mailing Address July 31, 2008

Registered at 1 BROAD STREET PLZ, PO BOX 357, GLENS FALLS, NY 128014390 (Tel: 5187610300)

👤
Provider Name / Credentials Updated July 31, 2008

Recorded as GREGORY RUNKEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2008

Pediatrics (License #192862 in NY)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972517837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: February 01, 2017
Sole Proprietor: No

Mailing Address

9 Carey Rd

Queensbury, NY 128047880

Phone: 5187610300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.