PRACTITIONER SERVICES OF THE SOUTHERN TIER (NPI# 1427231919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427231919 |
| Entity Type | Organization |
| Organization Name | PRACTITIONER SERVICES OF THE SOUTHERN TIER |
| Practice Address |
739 Larchmont Rd Elmira NY 14905-1216 |
| Practice Telephone | 6077348039 |
| Mailing Telephone | 6077348039 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | MARY JOHANNA FOSTER (PRESIDENT) |
| Authorized Official Telephone | 6077348039 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 331091 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 206255 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
739 LARCHMONT RD |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1216 |
| 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 |
| Find all providers in zip 14905 | ||||
| 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.