CARTHAGE AREA HOSPITAL (NPI# 1528279817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528279817 |
| Entity Type | Organization |
| Organization Name | CARTHAGE AREA HOSPITAL |
| Practice Address |
3 Bridge St Carthage NY 13619-1333 |
| Mailing Address |
1001 West St Carthage NY 13619-9703 |
| Practice Telephone | 3154933100 |
| Mailing Telephone | 3154931000 |
| Mailing Fax Number | 3154930105 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-10-27 |
| Authorized Official Name | WALTER BECKER (CEO) |
| Authorized Official Telephone | 3154931000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
2238001H | NY | Ambulatory Health Care Facilities |
| Y | 207V00000X | Obstetrics & Gynecology | 2238001H | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00310852 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326316209 | Carthage Area Hospital | Internal Medicine | 117 N Mechanic St, Carthage, NY 13619-1252 | 2011-12-07 |
| 1861760076 | Carthage Area Hospital | Clinic/Center | 1001 West St, Carthage, NY 13619-9703 | 2011-12-02 |
| 1417280157 | Carthage Area Hospital | General Acute Care Hospital | 3 Bridge St, Suite 5, Carthage, NY 13619-1353 | 2009-09-14 |
| 1821239286 | Carthage Area Hospital | General Acute Care Hospital | 1001 West St, Carthage, NY 13619-9703 | 2009-03-16 |
| 1306065727 | Carthage Area Hospital | Psychiatric Unit | 600 E 233rd St, Bronx, NY 10466-2604 | 2007-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CARTHAGE AREA HOSPITAL | 1001 West Street, Carthage, New York 13619 |
| System for Award Management (SAM) Entities | CARTHAGE AREA HOSPITAL, INC. | 1001 W St, Carthage, NY 13619-9703 |
| Street Address |
3 BRIDGE ST |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821104647 | Christopher Paul Grudowski | Nurse Practitioner | 3 Bridge St, Carthage, NY 13619-1333 | 2006-08-22 |
| 1851940274 | Brandi Ann Wilsie | Social Worker | 3 Bridge St, Carthage, NY 13619-1360 | 2019-09-09 |
| 1780232819 | Samantha Marie Barraclough | Physician Assistant | 3 Bridge St, Carthage, NY 13619-1360 | 2019-09-02 |
| 1316409808 | Tracy M. Tousant | Social Worker | 3 Bridge St, Carthage, NY 13619-1360 | 2019-04-03 |
| 1548742315 | Brittaney Hegard | Nurse Practitioner | 3 Bridge St, Carthage, NY 13619-1360 | 2018-08-29 |
| 1407358831 | Ann Marie Adams | Registered Nurse | 3 Bridge St, Carthage, NY 13619-1360 | 2018-03-01 |
| 1336650712 | Elise Marie Ingram | Physician Assistant | 3 Bridge St, Carthage, NY 13619-1360 | 2017-10-12 |
| 1457877276 | April Murphy | Social Worker | 3 Bridge St, Carthage, NY 13619-1360 | 2017-08-15 |
| 1932659190 | Karlye Eastman | Physical Therapist | 3 Bridge St, Carthage, NY 13619-1360 | 2016-10-11 |
| 1134574247 | Mccue Dental Carthage PC | Dentist | 3 Bridge St, Carthage, NY 13619-1360 | 2016-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093957128 | Mccune Brooks Regional Hospital | Obstetrics & Gynecology | 1515 Hazel St Ste 101, Carthage, MO 64836-2842 | 2009-04-06 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1275558306 | Richard G Hofmann | Obstetrics & Gynecology | 117 N Mechanic Street, Carthage, NY 13619 | 2006-07-12 |
| 1770524050 | Kimberly Michele Ginyard | Obstetrics & Gynecology | 117 N Mechanic St, Carthage, NY 13619-1252 | 2006-06-09 |
| 1407817737 | Lydia W Keisler | Obstetrics & Gynecology | 1515 Hazel St, Suite 101, Carthage, MO 64836-2850 | 2006-03-28 |
| 1093251217 | Sumner Physician Practices | Obstetrics & Gynecology | 133 Hospital Dr, Suite 500, Carthage, TN 37030-4004 | 2017-01-11 |
| 1972815181 | John Barry Kelly Sr. | Obstetrics & Gynecology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2010-07-06 |
| 1861421406 | Jonathan J Bruno | Obstetrics & Gynecology | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2006-07-03 |
| 1033159363 | Christopher Martin Jones | Obstetrics & Gynecology | 403 S Adams St, Suite 239, Carthage, IL 62321-1624 | 2006-06-07 |
| 1346298353 | Elizabeth M Barlet | Obstetrics & Gynecology | 1515 Hazel St, Carthage, MO 64836-2850 | 2006-05-04 |
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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.