ISLAND MEDICAL EMPIRE STATE, PLLC (NPI# 1053623041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053623041 |
| Entity Type | Organization |
| Organization Name | ISLAND MEDICAL EMPIRE STATE, PLLC |
| Other Organization Name | PEGASUS MEDICINE GROUP EMPIRE STATE, PLLC |
| Practice Address |
One Norton Avenue, Emergency Department A. O. Fox Memorial Hospital Oneonta NY 13820-2629 |
| Mailing Address |
350 Motor Pkwy Suite 309 Hauppauge NY 11788-5101 |
| Practice Telephone | 6074315003 |
| Practice Fax Number | 6074315058 |
| Mailing Telephone | 6315147600 |
| Mailing Fax Number | 6318131472 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | DR. DANIEL R. FERRARA (PRESIDENT) |
| Authorized Official Telephone | 6315147600 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pegasus Medicine Group Empire State, PLLC | Former Legal Business Name - Organization |
| Street Address |
ONE NORTON AVENUE, EMERGENCY DEPARTMENT A. O. FOX MEMORIAL HOSPITAL |
| City | ONEONTA |
| State | NY |
| Zip Code | 13820-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949162 | Jeffrey Alan Cooke | Nurse Practitioner | 739 State Route 28, Suite 9, Oneonta, NY 13820 | 2020-07-07 |
| 1073072278 | Colleen Marie Cutting | Massage Therapist | 22 Watkins Ave, Suite 102, Oneonta, NY 13820 | 2019-03-18 |
| 1114491925 | Amy Lynne Fletcher-foster | Physical Therapist | 5588 Ny-7, Oneonta, NY 13820 | 2019-01-15 |
| 1114497443 | Cathryn Melissa Hassick | Registered Nurse | 130 East Street, Oneonta, NY 13820 | 2018-11-29 |
| 1043797673 | Shelly Ranae Ashley | Counselor | 242 Main St, Fl 1, Oneonta, NY 13820 | 2018-07-26 |
| 1528561834 | Kaitlin Imperato | Physical Therapist | 5649 Ny-7, Oneonta, NY 13820 | 2018-03-13 |
| 1619413838 | Chloe Zaengle | Occupational Therapist | 1 Norton Avenue, Oneonta, NY 13820 | 2017-01-11 |
| 1508308388 | Amanda Vanburen | Physician Assistant | 739 Nys Rt. 28, Suite 9, Oneonta, NY 13820 | 2016-11-10 |
| 1720477227 | Helaine Rita Feinberg | Speech-Language Pathologist | 105 Campus Drive, Oneonta, NY 13820 | 2015-01-21 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| Find all providers in zip 13820 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467471003 | Jonathan Hood | Emergency Medicine | 106 Laurel Ln, Oneonta, AL 35121-1822 | 2006-07-18 |
| 1871031161 | Sidney Emergency Physician Services Pllc | Emergency Medicine | 1 Norton Ave, Oneonta, NY 13820-2629 | 2017-02-07 |
| 1427293950 | Blount Emergency Physicians, LLC. | Emergency Medicine | 150 Gilbreath Dr, Oneonta, AL 35121-2827 | 2008-12-12 |
| 1902095268 | Aurelia Osborn Fox Memorial Hospital Society | Emergency Medicine | 1 Norton Ave, Oneonta, NY 13820-2629 | 2007-10-23 |
| 1952599086 | St Vincents Blount | Emergency Medicine | 150 Gilbreath Dr, Oneonta, AL 35121-2827 | 2007-10-15 |
| 1659470391 | Eugene R. Pellerin Jr. | Emergency Medicine | 1 Norton Ave, Oneonta, NY 13820 | 2006-09-21 |
| 1194820522 | Christopher Keith Power | Emergency Medicine | 150 Gilbreath Dr, Oneonta, AL 35121-2827 | 2006-09-13 |
| 1104876580 | Christopher Luther Hall | Emergency Medicine | 150 Gilbreath Dr, Oneonta, AL 35121-2827 | 2006-05-10 |
| 1013999291 | Hisham H Goreish | Emergency Medicine | 150 Gilbreath Dr, Oneonta, AL 35121-2827 | 2005-11-15 |
| 1851388557 | Eastern Health Systems Inc | Emergency Medicine | 150 Gilbreath Dr, Oneonta, AL 35121-2827 | 2005-09-29 |
| Find all providers in ONEONTA | ||||
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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.