DR. ROBERT DOUENIAS (NPI# 1497720213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497720213 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DOUENIAS |
| Credential | MD |
| Practice Address |
130 Center Way Corning NY 14830-2255 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6079369971 |
| Practice Fax Number | 6079362600 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 178316-1 | NY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD059201L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012975600001 | 05 | |
| PA | MEDICARE GROUP | GU039858 | 01 |
| PA | RR MEDICARE GROUP | CC8362 | 01 |
| NY | RR MEDICARE PIN | 340018205 | 01 |
| NY | 01350774 | 05 |
| Street Address |
130 CENTER WAY |
| City | CORNING |
| State | NY |
| Zip Code | 14830-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227299 | Edward V Cordes | Optometrist | 130 Center Way, Corning, NY 14830-2255 | 2005-07-05 |
| 1639720873 | Patricia Anne Youngs | Nurse Practitioner | 130 Center Way, Corning, NY 14830-2287 | 2019-09-27 |
| 1386297745 | Christine Elizabeth Krohmalney | Nurse Practitioner | 130 Center Way, Corning, NY 14830-2255 | 2019-07-24 |
| 1194266163 | Jennifer Cornish | Registered Nurse | 130 Center Way, Corning, NY 14830-2255 | 2017-03-10 |
| 1386092641 | Jamie Alison Pace | Nurse Practitioner | 130 Center Way, Corning, NY 14830-2255 | 2016-05-27 |
| 1568849693 | Deepa Manimegalan | Pediatrics | 130 Center Way, Corning, NY 14830-2255 | 2015-04-27 |
| 1215330709 | Talia Calabro | Physician Assistant | 130 Center Way, Corning, NY 14830-2255 | 2014-09-29 |
| 1457776395 | Sisay Akalu | Preventive Medicine | 130 Center Way, Corning, NY 14830 | 2014-03-01 |
| 1144656091 | Guthrie Health | Durable Medical Equipment & Medical Supplies | 130 Center Way, Corning, NY 14830-2255 | 2013-09-24 |
| 1710327796 | Mireille Taufik | Family Medicine | 130 Center Way, Corning, NY 14830-2255 | 2013-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358836 | Shehla Javed | Registered Nurse | 3 Corning Dr, Corning, NY 14830 | 2020-05-18 |
| 1285993246 | Karen Adams | Physical Therapy Assistant | 205 E. First, Corning, NY 14830 | 2012-05-11 |
| 1275802464 | Anne Bethany Stefanini | Registered Nurse | 36 Mcmahon Avenue, Corning, NY 14830 | 2011-12-19 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1760769418 | Elizabeth Regina Feulner | Registered Nurse | 143 Princton Ave, Northside Blodgett Middle School, Corning, NY 14830 | 2011-11-09 |
| 1073823423 | Joyce Berliner | Occupational Therapist | 33 Denison Parkway West, Corning, NY 14830 | 2010-10-19 |
| 1285880625 | Angie L. Degraff-dacey | Licensed Practical Nurse | 160 Florentia Ln E, Corning, NY 14830 | 2008-08-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1205047313 | Katherine Ann Colyer | Physical Therapist | 11849 East Corning Rd, Suite 108, Corning, NY 14830 | 2007-05-24 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811064603 | Urology Center, PC | Urology | 603 Rosary Dr, Corning, IA 50841-1683 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
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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.