MS. THERESA ERIN YURKONIS (NPI# 1164876306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164876306 |
| Entity Type | Individual |
| Full Name | MS. THERESA ERIN YURKONIS |
| Practice Address |
29 N Chemung St Waverly NY 14892-1211 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6075659975 |
| Practice Fax Number | 6075652683 |
| Mailing Telephone | 5708886666 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 297406-1 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Guthrie Sq, Sayre, PA 188401625 | 5708886666 |
| Street Address |
29 N CHEMUNG ST |
| City | WAVERLY |
| State | NY |
| Zip Code | 14892-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528027562 | Nancy S. Kemp | Nurse Practitioner | 29 N Chemung St, Waverly, NY 14892-1211 | 2006-03-20 |
| 1447869821 | Rachel Cloke | Nurse Practitioner | 29 N Chemung St, Waverly, NY 14892-1211 | 2020-07-30 |
| 1518393370 | Guthrie Health | Durable Medical Equipment & Medical Supplies | 29 N Chemung St, Waverly, NY 14892-1211 | 2013-09-24 |
| 1932391588 | Guthrie Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 29 N Chemung St, Waverly, NY 14892-1211 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861586208 | Patricia O. Davis | Nurse Practitioner | 80 William Donnelly Parkway, Waverly, NY 14892 | 2006-10-02 |
| 1982718763 | Joseph Anthony Picco | Dentist | 16 Frederick St, Waverly, NY 14892 | 2006-08-18 |
| 1104101674 | Sensational Kids Physical, Occupational & Speech Therapy Services Pllc | Early Intervention Provider Agency | 332 Broad St, Waverly, NY 14892 | 2011-10-17 |
| 1104971092 | Alice O'brien-botts | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1306991047 | Jane A. Lane | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-24 |
| 1134273162 | Dianne L. Hill | Social Worker | 80 William Donnelly Parkway, Waverly, NY 14892 | 2007-01-23 |
| 1902042450 | Patricia Louise Ward | Physical Therapist | 97 Center St, Waverly, NY 14892-1103 | 2009-01-05 |
| 1245369628 | Diann M Dexter | Licensed Practical Nurse | 30 Lincoln St, Waverly, NY 14892-1117 | 2007-03-03 |
| 1265439186 | Tioga Healthcare Facility | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2005-07-07 |
| 1184997884 | 44 Ball Street Operating Company LLC | Assisted Living Facility | 44 Ball St, Waverly, NY 14892-1200 | 2012-02-12 |
| Find all providers in zip 14892 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568953651 | Tiffany Renee Bagwell | Family Medicine | 401 Gregson Pl, Waverly, TN 37185-2925 | 2018-05-23 |
| 1326574062 | Nicole Rex | Family Medicine | 135 Cedar Hill Dr, Waverly, OH 45690-9142 | 2017-05-01 |
| 1518301522 | Kimberly Ann Kabernagel | Family Medicine | 12 Lily Lake Rd, Waverly, PA 18471-0036 | 2013-04-21 |
| 1225224405 | Sumita Aggarwal | Family Medicine | 227 Valley View Dr., Waverly, OH 45690 | 2007-09-20 |
| 1225248701 | Bristol Village Homes | Family Medicine | 621 E 5th St, Waverly, OH 45690-1505 | 2007-05-23 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1548379381 | Terry A Johnson | Family Medicine | 715 W Emmitt Ave, Waverly, OH 45690-1015 | 2006-08-29 |
| 1437176286 | Harry T Kittaka | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| 1053390906 | George Coleman | Family Medicine | 344 W Main St, Waverly, VA 23890-3235 | 2006-01-10 |
| 1467430181 | Timothy C Horrigan | Family Medicine | 217 20th St Nw, Waverly, IA 50677 | 2006-01-03 |
| Find all providers in WAVERLY | ||||
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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.