DR. PAUL PETER POVANDA (NPI# 1164525325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164525325 |
| Entity Type | Individual |
| Full Name | DR. PAUL PETER POVANDA |
| Credential | D.O. |
| Practice Address |
571 Saint Josephs Blvd Elmira NY 14901-3230 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 6077331723 |
| Practice Fax Number | 6077335594 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 195749 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01693278 | 05 |
| Street Address |
571 SAINT JOSEPHS BLVD |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356450381 | Bruno Robert Mazza | Internal Medicine | 571 Saint Josephs Blvd, Suite 307, Elmira, NY 14901-3230 | 2006-08-30 |
| 1801035597 | Jean Kathleen Dembinski | Social Worker | 571 Saint Josephs Blvd, Suite 102, Elmira, NY 14901-3230 | 2009-02-19 |
| 1831350750 | Rawa Araim | Physical Medicine & Rehabilitation | 571 Saint Josephs Blvd, Elmira, NY 14901-3230 | 2008-06-23 |
| 1245355379 | Peter Strumpf Dds | Dentist | 571 Saint Josephs Blvd, Suite 105, Elmira, NY 14901-3230 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275945990 | Raymond H Wong | Internal Medicine | 200 Madison Ave Fl 3, Elmira, NY 14901-3219 | 2014-05-29 |
| 1629499785 | Robert T Adrah | Internal Medicine | 200 Madison Ave Ste 2c, Elmira, NY 14901-3219 | 2013-12-17 |
| 1427199827 | Reed P Haag | Internal Medicine | 360 W Water St, Elmira, NY 14905-2520 | 2007-02-09 |
| 1821172362 | Sam Thompson | Internal Medicine | 722 W Water St, Elmira, NY 14905-2435 | 2006-10-24 |
| 1306885306 | Roberto Mauri | Internal Medicine | 859 Broadway St, Elmira, NY 14904-2501 | 2006-06-05 |
| 1174598999 | Carl M. Charnetski | Internal Medicine | 602 Ivy St, 2nd Floor, Elmira, NY 14905-1646 | 2006-02-23 |
| 1184629768 | Ziya Bilen | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2005-06-20 |
| 1467987081 | David L Irwin | Internal Medicine | 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 | 2017-04-21 |
| 1558744953 | Luay Sarsam | Internal Medicine | 600 Roe Ave, Elmira, NY 14905 | 2015-07-02 |
| 1679960066 | Donald Ray Foster | Internal Medicine | 602 Ivy St, Elmira, NY 14905-1646 | 2015-04-23 |
| Find all providers in ELMIRA | ||||
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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.