CHARLES COLE MEMORIAL HOSPTIAL (NPI# 1295951499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295951499 |
| Entity Type | Organization |
| Organization Name | CHARLES COLE MEMORIAL HOSPTIAL |
| Other Organization Name | CCMH ORTHOPEDICS PA |
| Practice Address |
1001 East Second Street Coudersport PA 16915 |
| Practice Telephone | 8142749300 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2010-05-10 |
| Authorized Official Name | EDWARD PITCHFORD (CEO) |
| Authorized Official Telephone | 8142749300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA BLUE SHIELD | 1738917 | 01 |
| Other Name | Type Code |
|---|---|
| CCMH ORTHOPEDICS PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134377088 | Charles Cole Memorial Hosptial | Clinic/Center | 1001 East Second Street, Coudersport, PA 16915 | 2008-09-04 |
| 1104990514 | Charles Cole Memorial Hosptial | Clinic/Center | 45 N Pine St, Port Allegany, PA 16743-1238 | 2006-11-17 |
| Street Address |
1001 EAST SECOND STREET |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053646919 | Korin Marie Trumpie | Physician Assistant | 1001 East Second Street, Charles Cole Memorial Hospital, Coudersport, PA 16915 | 2009-10-12 |
| 1427206291 | Charles Cole Memorial Hospital | Clinic/Center | 1001 East Second Street, Coudersport, PA 16915 | 2008-09-04 |
| 1134377088 | Charles Cole Memorial Hosptial | Clinic/Center | 1001 East Second Street, Coudersport, PA 16915 | 2008-09-04 |
| 1427228055 | Ccmh Physical Therapy | Physical Medicine & Rehabilitation | 1001 East Second Street, Coudersport, PA 16915 | 2008-03-11 |
| 1114195666 | Charles Cole Memorial Hospital D/b/a Upmc Cole | Pharmacist | 1001 East Second Street, Coudersport, PA 16915 | 2008-02-19 |
| 1134303233 | Ccmh Surgical Specialists | Surgery | 1001 East Second Street, Coudersport, PA 16915 | 2007-12-26 |
| 1346460250 | Charles Cole Memorial Hospital | Internal Medicine | 1001 East Second Street, Coudersport, PA 16915 | 2007-04-26 |
| 1811018393 | Eileen Powell | Physical Medicine & Rehabilitation | 1001 East Second Street, Coudersport, PA 16915 | 2007-04-03 |
| 1336253293 | Frank W Horn | Surgery | 1001 East Second Street, Coudersport, PA 16915-9762 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134396930 | Carla J Muirhead | Registered Nurse | 1001 East 2nd Street, Coudersport, PA 16915 | 2008-05-12 |
| 1396926374 | Jeremy T Reed | Otolaryngology | 1001 E 2nd St Ste C, Coudersport, PA 16915 | 2007-11-19 |
| 1437274768 | Lynn Meredith Cornish | Dentist | 303 E Maple Street, Coudersport, PA 16915 | 2007-03-19 |
| 1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
| 1568569168 | Peter C Ryan | Dentist | 438 East Second St, Coudersport, PA 16915 | 2006-09-19 |
| 1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
| 1245294875 | Victor Douglas Brown | Dentist | 6 Niles Hill Road, Coudersport, PA 16915 | 2006-04-12 |
| 1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1770958696 | Rosanne Marie Pesock | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1043685977 | Trisha Marie Bauer | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| Find all providers in zip 16915 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366819880 | Charles Cole Memorial Hospital | Orthopaedic Surgery | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1225237332 | Terrance Lee Foust | Orthopaedic Surgery | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2007-07-18 |
| 1306873492 | Bradley F Giannotti | Orthopaedic Surgery | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
| City | COUDERSPORT |
| Zip Code | 16915 |
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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.