INDIAN CREEK MIDWIFERY & BIRTH CENTER, PLLC (NPI# 1437771755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437771755 |
| Entity Type | Organization |
| Organization Name | INDIAN CREEK MIDWIFERY & BIRTH CENTER, PLLC |
| Practice Address |
132 Indian Creek Rd Ithaca NY 14850-1331 |
| Mailing Address |
574 S Danby Rd Spencer NY 14883-9606 |
| Practice Telephone | 6077933794 |
| Practice Fax Number | 6078214374 |
| Mailing Telephone | 6073799606 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | LISA M BENEDETTO (MIDWIFERY DIRECTOR/OWNER) |
| Authorized Official Telephone | 6073799606 |
| Authorized Official Credential | CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BirthWise Midwifery, PLLC | Former Legal Business Name - Organization |
| Street Address |
132 INDIAN CREEK RD |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851445258 | Katherine Timmermann Finn | Midwife | 132 Indian Creek Rd, Ithaca, NY 14850-1331 | 2007-01-22 |
| 1386968899 | Lisa M Benedetto | Nurse Practitioner | 132 Indian Creek Rd, Ithaca, NY 14850-1331 | 2010-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396373858 | Private Healthcare Facilities | Clinic/Center | 515 S Canton Rd, Potsdam, NY 13676-3162 | 2020-03-31 |
| 1730551185 | Birthing Center of Ny | Clinic/Center | 6702 3rd Ave, Brooklyn, NY 11220-5203 | 2015-10-26 |
| 1508281130 | Quetzal Currie | Clinic/Center | 40 Harrison St Apt 31g, New York, NY 10013-2725 | 2014-02-18 |
| 1295333656 | Wellness and Birth Center | Clinic/Center | 121 Market St, Potsdam, NY 13676-1716 | 2020-10-16 |
| 1952919441 | National Birth Centers, Inc. | Clinic/Center | 126 Cornish St, Sherman, NY 14781-9791 | 2020-07-21 |
| 1306466057 | Community Birth Group | Clinic/Center | 126 Cornish St, Sherman, NY 14781-9791 | 2020-04-23 |
| 1942820691 | Private Healthcare Facilities | Clinic/Center | 126 Cornish St, Sherman, NY 14781-9791 | 2020-04-23 |
| 1922636273 | Private Healthcare Facilities | Clinic/Center | 209 Boyce Rd, Pine Bush, NY 12566-6809 | 2020-03-31 |
| 1841828183 | Community Birth Group | Clinic/Center | 209 Boyce Rd, Pine Bush, NY 12566-6809 | 2020-03-31 |
| 1689202145 | Community Birth Group | Clinic/Center | 515 S Canton Rd, Potsdam, NY 13676-3162 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
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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.