AMIDON MEDICAL GROUP PLLC (NPI# 1053735886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053735886 |
| Entity Type | Organization |
| Organization Name | AMIDON MEDICAL GROUP PLLC |
| Practice Address |
2 Ellinwood Dr New Hartford NY 13413-1102 |
| Practice Telephone | 3155075081 |
| Practice Fax Number | 3157381663 |
| Mailing Telephone | 3155075081 |
| Mailing Fax Number | 3157381663 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | JEFFREY D AMIDON (MANAGING MEMBER) |
| Authorized Official Telephone | 3155075081 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 192498 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2 ELLINWOOD DR |
| City | NEW HARTFORD |
| State | NY |
| Zip Code | 13413-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164413662 | William A Mandour | Urology | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2005-11-03 |
| 1538776687 | Ellinwood Nurse Practitioner In Family Health,pllc | Nurse Practitioner | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2020-09-23 |
| 1023628963 | Paul F Palumbo | Dermatology | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2020-08-05 |
| 1619518636 | Marissa Celine Visingardi | Physician Assistant | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2019-10-01 |
| 1598264426 | Blessing Iheukwu Isiguzo | Nurse Practitioner | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2018-02-06 |
| 1700316437 | Renee Pomatto | Nurse Practitioner | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2017-06-15 |
| 1407237753 | Theresa Marie Hutchings | Nurse Practitioner | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2015-06-12 |
| 1730579566 | Ellinwood Dental Pllc | Clinic/Center | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2015-02-02 |
| 1245643501 | Ellinwood Pediatrics Pllc | Pediatrics | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2014-06-04 |
| 1144561721 | Jerzy Miroslaw Rogowski | Internal Medicine | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2013-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055733 | Inspiring Counseling, Lmsw,pllc | Counselor | 46 Genesee St, New Hartford, NY 13413 | 2020-08-26 |
| 1407495971 | New Hartford Hearing Centers, Inc | Hearing Instrument Specialist | 8556 Seneca Tpk, New Hartford, NY 13413 | 2020-01-02 |
| 1174090203 | Brittany Nicole Cushman | Physician Assistant | 29 Deerpath Drive, New Hartford, NY 13413 | 2018-10-26 |
| 1750800801 | Yolonda Garling Peroni | Social Worker | 137 Oxford Road Apt F7, New Hartford, NY 13413 | 2017-09-10 |
| 1558890061 | Jennifer Babula | Massage Therapist | 3 Campion Rd, New Hartford, NY 13413 | 2017-06-08 |
| 1144778911 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8555 Seneca Turnpike, New Hartford, NY 13413 | 2016-09-21 |
| 1306113386 | Terri Jones | Licensed Practical Nurse | 131 Oxford Road, New Hartford, NY 13413 | 2011-11-19 |
| 1679850499 | Gail L. Belden-harrington | Occupational Therapist | 47 Middlesettlement Rd, New Hartford, NY 13413 | 2011-11-08 |
| 1063700482 | Hong Xu | Optometrist | 4733 Commercial Drive, New Hartford, NY 13413 | 2011-07-19 |
| 1295033199 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4735 Commercial Drive, New Hartford, NY 13413 | 2011-03-02 |
| Find all providers in zip 13413 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073831186 | Cap Medical Group Pllc | General Practice | 2 Ellinwood Dr, New Hartford, NY 13413-1102 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
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| City | NEW HARTFORD |
| Zip Code | 13413 |
Please comment or provide details below to improve the information on AMIDON MEDICAL GROUP PLLC.
| 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.