MR. SALVATORE RUSSELL PECORARO (NPI# 1548395429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548395429 |
| Entity Type | Individual |
| Full Name | MR. SALVATORE RUSSELL PECORARO |
| Credential | MD |
| Practice Address |
200 Ohio Street Medina Memorial Hospital Medina NY 14103 |
| Mailing Address |
37 Forestview Court Williamsville NY 14221-1445 |
| Practice Telephone | 5857988080 |
| Mailing Telephone | 7166896765 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 183816 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BP2498182 | 01 | |
| NY | 183816 | 05 |
| Street Address |
200 OHIO STREET MEDINA MEMORIAL HOSPITAL |
| City | MEDINA |
| State | NY |
| Zip Code | 14103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053796318 | Ami H Desai | Physical Therapist | 200 Ohio Street, Medina, NY 14103 | 2015-07-28 |
| 1043341563 | Orleans Community Health | Skilled Nursing Facility | 200 Ohio Street, Medina, NY 14103 | 2007-03-08 |
| 1558492074 | Orleans Community Health | Psychiatric Unit | 200 Ohio Street, Medina, NY 14103 | 2007-03-08 |
| 1467583989 | Orleans Community Health | Rehabilitation Unit | 200 Ohio Street, Medina, NY 14103 | 2007-03-08 |
| 1023149549 | Orleans Community Health | Medicare Defined Swing Bed Unit | 200 Ohio Street, Medina, NY 14103-1063 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772473 | Melody Ann Parker | Licensed Practical Nurse | 1026 Park Avenue, Medina, NY 14103 | 2012-05-18 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1437280955 | Orleans Community Health | Clinic/Center | 11020 West Center Street Ext., Medina, NY 14103 | 2007-03-08 |
| 1902933328 | Sallah U Abbasey | Homeopath | 3662 Culvert Road, Medina, NY 14103 | 2007-02-27 |
| 1285783704 | Medina Central School District | Local Education Agency (LEA) | One Mustang Drive, Medina, NY 14103 | 2007-01-10 |
| 1639278310 | Ekram John Boulos | Otolaryngology | 11075 West Center Street Extension, Medina, NY 14103 | 2006-09-21 |
| 1598771289 | Katherine Price | Midwife | 100 Ohio Street, Medina, NY 14103 | 2006-08-01 |
| 1831156967 | Nadia Alexandra Nava | Physical Therapist | 711 Park Ave, Medina, NY 14103 | 2006-05-01 |
| 1336104090 | Amy Sue Herman | Pharmacist | 526 Main Street, Rosenkrans Pharmacy, Medina, NY 14103 | 2006-04-18 |
| 1124097878 | Arthur W Mruczek Sr. | Ophthalmology | 500 Erie Street South, Lake Plains Eye Center, Medina, NY 14103 | 2006-03-15 |
| Find all providers in zip 14103 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043258213 | Michael Edward Ort | Emergency Medicine | 713 Blackmon St, Medina, TN 38355-8839 | 2006-06-02 |
| 1205883899 | Douglas Fall | Emergency Medicine | 4001 Carrick Dr Ste 160, Medina, OH 44256-5392 | 2006-05-28 |
| 1093717522 | Kim D Bowen | Emergency Medicine | 1000 E Washington, Medina General Hospital Ed, Medina, OH 44256 | 2005-08-15 |
| 1174525620 | Medina Emergency Associates Ltd | Emergency Medicine | 1000 E Washing Ave, Medina, OH 44256 | 2005-08-15 |
| 1114358280 | New York Physician Medical Services, Pllc | Emergency Medicine | 200 Ohio St, Medina, NY 14103-1063 | 2013-11-27 |
| 1679901268 | Summa Emergency Associates, Inc. | Emergency Medicine | 3780 Medina Rd, Medina, OH 44256-9311 | 2013-10-17 |
| 1922341411 | Lisa Webb Derrick | Emergency Medicine | 1000 E Washington St, Medina, OH 44256-2170 | 2013-04-03 |
| 1669759957 | Emergency Medicine Physicians of Lake Medina, Ltd | Emergency Medicine | 3780 Medina Rd, Medina, OH 44256-9311 | 2011-11-15 |
| 1891019576 | Edward S Hawkins | Emergency Medicine | 1000 E Washington St, Medina General Hospital Emergency Dept, Medina, OH 44256-2170 | 2010-03-24 |
| 1942217070 | Lisa Marie Deranek | Emergency Medicine | 1000 E Washington St, Medina, OH 44256-2170 | 2006-08-02 |
| Find all providers in MEDINA | ||||
Please comment or provide details below to improve the information on MR. SALVATORE RUSSELL PECORARO.
| 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.