MATTHEW G SARGENT (NPI# 1336625698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336625698 |
| Entity Type | Individual |
| Full Name | MATTHEW G SARGENT |
| Practice Address |
600 Roe Ave Elmira NY 14905-1629 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 6077377770 |
| Practice Fax Number | 6072713686 |
| Mailing Telephone | 6072712050 |
| Mailing Fax Number | 6072712099 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 343280 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 343280 | 01 |
| Street Address |
600 ROE AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629768 | Ziya Bilen | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2005-06-20 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1053933499 | Branden Riggins | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-08 |
| 1184245664 | Bradley Steven Phelps | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-06 |
| 1497376263 | Lucas Edward Place | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-02 |
| 1568083475 | John Michael Yavorski IIi | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-01 |
| 1083235139 | Devin Craig Thompson | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-29 |
| 1538780887 | Alexandra Helena Sheriff | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-28 |
| 1801417217 | Fatima Asfia Qadri | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-27 |
| 1376163386 | Jaskarn Virk | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1467614230 | Susan Jane Ponivas | Nurse Practitioner | 602 Ivy St Fl 2, Elmira, NY 14905-1646 | 2008-07-01 |
| 1427231919 | Practitioner Services of The Southern Tier | Nurse Practitioner | 739 Larchmont Rd, Elmira, NY 14905-1216 | 2007-12-07 |
| 1508924747 | Ann Lovecchio | Nurse Practitioner | 755 E Church St, Elmira, NY 14901-2836 | 2006-12-04 |
| 1033196514 | Margaret Ann Pease | Nurse Practitioner | 200 Madison Ave Ste 2d, Elmira, NY 14901-3219 | 2005-12-27 |
| 1174521835 | Debra Lynne Franzen | Nurse Practitioner | 1019 E Water St, Elmira, NY 14901-3332 | 2005-07-07 |
| 1487216065 | Alonna Ann Dillabough | Nurse Practitioner | 1336 Cedar St, Elmira, NY 14904-2951 | 2019-07-03 |
| 1326518192 | Nikki Anne Fitch | Nurse Practitioner | 1336 Cedar St, Elmira, NY 14904-2951 | 2018-12-04 |
| 1063994325 | Courtney L Grier | Nurse Practitioner | 600 Roe Ave, Elmira, NY 14905-1629 | 2018-09-04 |
| 1720566425 | Nicole Danielle Fletcher | Nurse Practitioner | 200 Madison Ave Fl 3, Elmira, NY 14901-3219 | 2018-08-03 |
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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.