CHARLES COLE MEMORIAL HOSPITAL (NPI# 1457728966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457728966 |
| Entity Type | Organization |
| Organization Name | CHARLES COLE MEMORIAL HOSPITAL |
| Other Organization Name | COLE MEMORIAL PAIN MANAGEMENT |
| Practice Address |
1001 E 2nd St Coudersport PA 16915-8161 |
| Practice Telephone | 8142745228 |
| Mailing Telephone | 8142745228 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | ED PITCHFORD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8142749300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cole Memorial Pain Management | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932382058 | Charles Cole Memorial Hospital | Orthopaedic Surgery | 3132 Route 417, Olean, NY 14760-1835 | 2007-12-12 |
| 1275605776 | Charles Cole Memorial Hospital | Clinic/Center | 511 Academy St, Ulysses, PA 16948-9580 | 2006-11-14 |
| 1861564106 | Charles Cole Memorial Hospital | Clinic/Center | 222 Church Street, Westfield, PA 16950 | 2006-11-14 |
| 1275605750 | Charles Cole Memorial Hospital | Clinic/Center | 288 Sizerville Rd, Emporium, PA 15834-3944 | 2006-11-14 |
| 1407928757 | Charles Cole Memorial Hospital | Clinic/Center | 128 N Puritan Street, Shinglehouse, PA 16748 | 2006-11-14 |
| 1356794226 | Charles Cole Memorial Hospital | Otolaryngology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-15 |
| 1962850792 | Charles Cole Memorial Hospital | Ophthalmology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-06-02 |
| 1992172415 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1902273428 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1639546153 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| Street Address |
1001 E 2ND ST |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868736 | Kathleen M Kerr | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2005-08-16 |
| 1205498458 | Nina Lelic Miller | Dentist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-07-08 |
| 1831754308 | Garrett Michael Russell | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-05-09 |
| 1740742279 | Joshua Hoppe | Physical Therapist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-04-03 |
| 1396202743 | Jackie D Sprow | Nurse Practitioner | 1001 E 2nd St, Coudersport, PA 16915-8179 | 2019-02-21 |
| 1821505983 | Kristine N Ball | Advanced Practice Midwife | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2018-01-10 |
| 1245743103 | Patricia K Stegman | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2017-11-14 |
| 1033562707 | Jennifer Davis | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1497108161 | Gena Rasmussen | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1356794226 | Charles Cole Memorial Hospital | Otolaryngology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-15 |
| Find all providers in the same location | ||||
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154546067 | Theresa A Arvesen | Anesthesiology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| 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.