CORNING HOSPITAL (NPI# 1275652612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275652612 |
| Entity Type | Organization |
| Organization Name | CORNING HOSPITAL |
| Other Organization Name | CORNING HOSPITAL ER GROUP |
| Practice Address |
1 Guthrie Dr Corning NY 14830-3696 |
| Mailing Address |
1 Guthrie Dr Corning NY 14830-2899 |
| Practice Telephone | 6079377200 |
| Mailing Telephone | 6079377200 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | FRANCIS M MACAFEE (VP, CHIELF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5708875985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Corning Hospital ER Group | Other Name - Individual/Organization |
| EMERGENCY PHYSICIAN ASSOCIATION | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241973 | Corning Hospital | Emergency Medicine | 1 Guthrie Drive, Corning, NY 14830-3696 | 2005-08-04 |
| 1962010694 | Corning Hospital | Pharmacy | 1 Guthrie Drive, Corning Hospital Outpatient Pharmacy, Corning, NY 14830 | 2020-07-20 |
| 1396897328 | Corning Hospital | Clinic/Center | 176 Denison Pkwy E, Corning, NY 14830-2814 | 2007-01-18 |
| 1972655629 | Corning Hospital | General Acute Care Hospital | 176 Denison Pkwy E, Corning, NY 14830-2814 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CORNING HOSPITAL | 176 Denison Parkway East, Corning, New York 14830 |
| Street Address |
1 GUTHRIE DR |
| City | CORNING |
| State | NY |
| Zip Code | 14830-3696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071840 | Jae W Chung | Specialist | 1 Guthrie Dr, Corning, NY 14830-3696 | 2005-05-23 |
| 1316509383 | Karleena Mickle | Nurse Practitioner | 1 Guthrie Dr, Corning, NY 14830-3696 | 2019-07-01 |
| 1184192213 | Maridee Kaye Hunter | Nurse Practitioner | 1 Guthrie Dr, Corning, NY 14830-3696 | 2018-11-07 |
| 1932680311 | Cynthia Demuth | Pediatrics | 1 Guthrie Dr, Corning, NY 14830-3696 | 2018-08-24 |
| 1831577071 | Zacchaeus Akinleye | Internal Medicine | 1 Guthrie Dr, Corning, NY 14830 | 2015-05-07 |
| 1043606544 | Andrew Scott Mccollough | Emergency Medicine | 1 Guthrie Dr, Corning, NY 14830-2899 | 2015-04-10 |
| 1912302035 | Patrick W. Horner | Internal Medicine | 1 Guthrie Dr, Corning, NY 14830 | 2014-10-31 |
| 1013316769 | Saravanakumar Manickam | Anesthesiology | 1 Guthrie Dr, Corning, NY 14830-3696 | 2014-08-19 |
| 1609295476 | Gabriel Garcia-ryan | Emergency Medicine | 1 Guthrie Dr, Corning, NY 14830-3696 | 2014-04-09 |
| 1013215896 | Michael Jon Depersis | Internal Medicine | 1 Guthrie Dr, Guthrie Medical Group, Corning, NY 14830-3696 | 2011-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358836 | Shehla Javed | Registered Nurse | 3 Corning Dr, Corning, NY 14830 | 2020-05-18 |
| 1285993246 | Karen Adams | Physical Therapy Assistant | 205 E. First, Corning, NY 14830 | 2012-05-11 |
| 1275802464 | Anne Bethany Stefanini | Registered Nurse | 36 Mcmahon Avenue, Corning, NY 14830 | 2011-12-19 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1760769418 | Elizabeth Regina Feulner | Registered Nurse | 143 Princton Ave, Northside Blodgett Middle School, Corning, NY 14830 | 2011-11-09 |
| 1073823423 | Joyce Berliner | Occupational Therapist | 33 Denison Parkway West, Corning, NY 14830 | 2010-10-19 |
| 1285880625 | Angie L. Degraff-dacey | Licensed Practical Nurse | 160 Florentia Ln E, Corning, NY 14830 | 2008-08-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1205047313 | Katherine Ann Colyer | Physical Therapist | 11849 East Corning Rd, Suite 108, Corning, NY 14830 | 2007-05-24 |
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| 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 |
|---|---|---|---|---|
| 1093791402 | Charles Anthony Morrow | Emergency Medicine | 176 Denison Parkway East, Corning Hospital, Corning, NY 14830 | 2005-12-16 |
| 1346241973 | Corning Hospital | Emergency Medicine | 1 Guthrie Drive, Corning, NY 14830-3696 | 2005-08-04 |
| 1043606544 | Andrew Scott Mccollough | Emergency Medicine | 1 Guthrie Dr, Corning, NY 14830-2899 | 2015-04-10 |
| 1609295476 | Gabriel Garcia-ryan | Emergency Medicine | 1 Guthrie Dr, Corning, NY 14830-3696 | 2014-04-09 |
| 1215918768 | David A Levine | Emergency Medicine | 1 Guthrie Dr, Corning, NY 14830 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333466 | Rita Mello | Emergency Medicine | 10 Maplemoor Ln, White Plains, NY 10605-4704 | 2020-10-11 |
| 1891318754 | Mat Medical Associates, P.C. | Emergency Medicine | 565 Route 25a Ste 4, Miller Place, NY 11764-2663 | 2020-05-26 |
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1134749658 | Kenneth Yaboh | Emergency Medicine | 1000 Cherrywood Dr, Baldwin, NY 11510-5009 | 2020-04-24 |
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1477180479 | Taj Medical Pllc | Emergency Medicine | 10925 111th St, South Ozone Park, NY 11420-1015 | 2020-03-27 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1659939700 | Richard Edward Smith Medicine PC | Emergency Medicine | 81 Miller Rd Ste 600, S Schodack, NY 12033-4042 | 2019-06-04 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
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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.