DR. LAUREL D EDMUNDSON (NPI# 1518122993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518122993 |
| Entity Type | Individual |
| Full Name | DR. LAUREL D EDMUNDSON |
| Credential | MD |
| Practice Address |
4038 West Road Cortland NY 13045-0000 |
| Mailing Address |
17 Main St Suite 302 Cortland NY 13045-6606 |
| Practice Telephone | 6077583008 |
| Practice Fax Number | 6077587032 |
| Mailing Telephone | 6077533797 |
| Mailing Fax Number | 6077536677 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2010-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 243316 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03258326 | 05 |
| Street Address |
4038 WEST ROAD |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720365430 | E. A. Dechellis, D.o., Inc. | Family Medicine | 3002 State Route 5 Ste B, Cortland, OH 44410-9202 | 2011-11-09 |
| 1417178344 | Robert F Naples Do Inc | Family Medicine | 2249 Elm Road Extension, Cortland, OH 44410-9333 | 2007-05-01 |
| 1194831610 | Robert Castellanos | Family Medicine | 14 Kennedy Pkwy, Cortland, NY 13045-1435 | 2006-08-21 |
| 1285642769 | Trumbull Mahoning Medical Group, Inc. | Family Medicine | 2600 Elm Rd Ne, Cortland, OH 44410-9393 | 2006-08-03 |
| 1508892811 | Ruth F Quarles | Family Medicine | 2600 State Route 5, Cortland, OH 44410-9393 | 2006-06-26 |
| 1821040064 | Ernest A Dechellis | Family Medicine | 3002 B Elmview Prof Pk, State Rt 5, Cortland, OH 44410-9202 | 2006-05-16 |
| 1275506545 | Robert F Naples | Family Medicine | 2249 Elm Rd Ne, Cortland, OH 44410-9333 | 2006-02-08 |
| 1609854918 | Janet Lee Johnson | Family Medicine | Regional Medical Practice, PC, 4077 West Road, Cortland, NY 13045 | 2006-01-06 |
| 1912995978 | Rosemarie Hurley | Family Medicine | 4077 State Route 281, Cortland, NY 13045-1637 | 2005-10-12 |
| 1639170426 | Peter M Barnovsky Do Inc | Family Medicine | 500 Wakefield Dr, Cortland, OH 44410-1504 | 2005-08-03 |
| Find all providers in CORTLAND | ||||
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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.