MR. PETER ANGELO COGGIOLA (NPI# 1013902931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013902931 |
| Entity Type | Individual |
| Full Name | MR. PETER ANGELO COGGIOLA |
| Credential | MSN, NP |
| Practice Address |
400 North Main Street Wyoming County Community Snif Warsaw NY 14569 |
| Mailing Address |
4470 Jordan Road Silver Springs NY 14550 |
| Practice Telephone | 6154848101 |
| Practice Fax Number | 5054689629 |
| Mailing Telephone | 6144848101 |
| Mailing Fax Number | 5054689629 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2010-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | F3304121 | NY | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F3304121 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HUMANA | 161511795 | 01 |
| NY | PREFERRED CARE | 109448FZ | 01 |
| NY | 01273165 | 05 | |
| NY | COMMUNITY BLUE | 000570031004 | 01 |
| NY | INDEPENDENT HEALTH | 9512103 | 01 |
| NY | BLUE CHOICE | P019330412 | 01 |
| NY | NORTH AMERICAN PREFERRED | 161511795 | 01 |
| NY | FIDELIS CARE NEW YORK | 060926000008 | 01 |
| NY | NOVA | 161511795 | 01 |
| NY | GHI | 7599612 | 01 |
| NY | RAILROAD MEDICARE | P00320181 | 01 |
| Street Address |
400 NORTH MAIN STREET WYOMING COUNTY COMMUNITY SNIF |
| City | WARSAW |
| State | NY |
| Zip Code | 14569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659759587 | Wyoming County | Anesthesiology | 400 North Main Street, Warsaw, NY 14569 | 2015-05-12 |
| 1932256187 | Amy Janel Calmes | Physical Therapist | 400 North Main Street, Warsaw, NY 14569 | 2007-01-03 |
| 1811057524 | Gregory J Quartz | Physical Therapy Assistant | 400 North Main Street, Warsaw, NY 14569 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1215576806 | Danielle Lynn Kwiecien | Physical Therapist | 400 N Main Warsaw Ny 14569, Warsaw, NY 14569 | 2019-12-30 |
| 1295975415 | Brandie Rajk-winter | Counselor | 433 North Main St., Warsaw, NY 14569 | 2009-02-27 |
| 1104048511 | Anthony Emmanuel Trigenis | Internal Medicine | 2 Karaoli St, Anixis, ATTIKIS 14569 | 2007-05-03 |
| 1477680908 | Nancy L. Mcnair | Occupational Therapy Assistant | 400 N. Main Street, Warsaw, NY 14569 | 2007-02-28 |
| 1821173360 | Carolyn Kate Schofield | Speech-Language Pathologist | 400 North Main St, Wyoming County Community Hospital, Warsaw, NY 14569 | 2006-10-25 |
| 1871673665 | Pamela Zola | Speech-Language Pathologist | Wyoming County Community Hospital, 400 North Main Street, Warsaw, NY 14569 | 2006-10-16 |
| 1538101696 | Dharam Paul Singla | Internal Medicine | 38 Duncan St, Suite 3, Warsaw, NY 14569 | 2006-06-12 |
| 1154386142 | Rajendrakumar M Patel | Internal Medicine | 5 Salina St, Warsaw, NY 14569 | 2006-04-20 |
| 1104881770 | Warsaw Ob Gyn PC | Obstetrics & Gynecology | 408 North Main St, Warsaw, NY 14569 | 2006-04-18 |
| Find all providers in zip 14569 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776796 | Brandi K Shepherd | Nurse Practitioner | 1315 Fisher Ave, Warsaw, IN 46580-4810 | 2020-07-02 |
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1306275896 | Stephanie Wells | Nurse Practitioner | 1210 Provident Dr Ste B, Warsaw, IN 46580-3266 | 2013-11-05 |
| 1689820870 | Patricia L. Kinkead | Nurse Practitioner | 35391 Jackman Ave, Warsaw, MO 65355-6153 | 2008-08-07 |
| 1871537480 | Heather Joy Ward | Nurse Practitioner | 1500 Provident Drive, Ste A, Warsaw, IN 46580 | 2006-06-15 |
| 1821048117 | Vicky M. Beall | Nurse Practitioner | 302 W Main St, Warsaw, KY 41095-9304 | 2006-05-10 |
| 1699749523 | Carrie M Vangrol | Nurse Practitioner | 86 N Main St, Warsaw, NY 14569-1329 | 2006-02-15 |
| 1851902621 | Kristen M Bagot | Nurse Practitioner | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-08-13 |
| 1346878295 | Jacquelyn Janes | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-03-27 |
| 1184258782 | Michelle Mary Zeches O'neil | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-02-24 |
| Find all providers in WARSAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.