SOLDIERS & SAILORS MEMORIAL HOSPITAL (NPI# 1538708128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538708128 |
| Entity Type | Organization |
| Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Practice Address |
418 N Main St Penn Yan NY 14527-1070 |
| Practice Telephone | 3155312000 |
| Mailing Telephone | 3155312000 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MR. JEFFREY H MORGAN (CFO AND TREASURER) |
| Authorized Official Telephone | 3157874030 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02657812 | 05 |
| Other Name | Type Code |
|---|---|
| Soldiers and Sailors Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989265 | Soldiers & Sailors Memorial Hospital | Family Medicine | 1991 Balsley Rd, Seneca Falls, NY 13148-9797 | 2020-10-16 |
| 1972101491 | Soldiers & Sailors Memorial Hospital | Family Medicine | 367 E Main St, Waterloo, NY 13165-1662 | 2020-10-16 |
| 1891972774 | Soldiers & Sailors Memorial Hospital | Anesthesiology | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1629255500 | Soldiers & Sailors Memorial Hospital | Surgery | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1376686162 | Soldiers & Sailors Memorial Hospital | Skilled Nursing Facility | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1285777086 | Soldiers & Sailors Memorial Hospital | Psychiatric Unit | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1093858896 | Soldiers & Sailors Memorial Hospital | Medicare Defined Swing Bed Unit | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1043353618 | Soldiers & Sailors Memorial Hospital | Emergency Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1215044516 | Soldiers & Sailors Memorial Hospital | Emergency Medical Technician, Paramedic | 418 N Main St, Penn Yan, NY 14527-1085 | 2006-08-23 |
| Street Address |
418 N MAIN ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993098 | Eleanor Hinds De Witt | Internal Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2005-09-23 |
| 1073123170 | Rachael Patten | Social Worker | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-08-04 |
| 1669003117 | Kaitlin Dehond | Physical Therapist | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-02-03 |
| 1427698265 | Joshua Pritchard | Occupational Therapist | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-01-09 |
| 1831663806 | Amanda Marie Everett-smith I | Social Worker | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-01-14 |
| 1720597636 | Nathan Travis Stowell | Nurse Practitioner | 418 N Main St, Penn Yan, NY 14527-1070 | 2017-09-22 |
| 1639619026 | Karlee Roberts | Social Worker | 418 N Main St, John D Kelly Behavioral Health, Penn Yan, NY 14527-1070 | 2017-03-03 |
| 1528519378 | Soldiers and Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2016-10-17 |
| 1043582380 | Tara A. Atkinson | Social Worker | 418 N Main St, Patient Accounting Dept., Penn Yan, NY 14527-1070 | 2012-02-02 |
| 1124396205 | Soldiers & Sailors Memorial Hospital of Yates County, Inc. | General Acute Care Hospital | 418 N Main St, Penn Yan, NY 14527-1085 | 2011-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
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| 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 |
|---|---|---|---|---|
| 1134317084 | Cannariato & Driesch Family Medicine, PC | Family Medicine | 350 Elm St, Penn Yan, NY 14527-1445 | 2007-10-04 |
| 1740396027 | Lisa Lynn Walk-reinard | Family Medicine | 207 1/2 Lake St, Penn Yan, NY 14527-1802 | 2006-08-21 |
| 1790744043 | Wayne Steven Strouse | Family Medicine | 108 Kimball Ave, Penn Yan, NY 14527-1816 | 2006-03-23 |
| 1578539961 | Flh Medical,pc | Family Medicine | 1930 Pre Emption Rd, Penn Yan, NY 14527-9641 | 2006-02-24 |
| 1508869199 | Mary D. Driesch | Family Medicine | 160 Main St, Penn Yan, NY 14527-1204 | 2005-05-27 |
| 1528519378 | Soldiers and Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2016-10-17 |
| 1134674443 | Vy Le | Family Medicine | 1930 Pre Emption Rd, Penn Yan, NY 14527-9641 | 2016-08-17 |
| 1992946891 | Crooked Lake Family Medicine | Family Medicine | 1930 Pre Emption Rd, Penn Yan, NY 14527-9641 | 2009-03-23 |
| 1215174644 | Flh Medical, PC | Family Medicine | 1930 Pre Emption Rd, Penn Yan, NY 14527-9641 | 2009-01-07 |
| 1255586400 | Robert Anderson | Family Medicine | 1930 Pre Emption Rd, Penn Yan, NY 14527-9641 | 2008-12-01 |
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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.