AURELIA OSBORN FOX MEMORIAL HOSPITAL - OBGYN (NPI# 1780940429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780940429 |
| Entity Type | Organization |
| Organization Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL - OBGYN |
| Practice Address |
1 Foxcare Dr Suite # 303 Oneonta NY 13820-2099 |
| Mailing Address |
1 Norton Ave Oneonta NY 13820-2629 |
| Practice Telephone | 6074323711 |
| Mailing Telephone | 6074322000 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | TRACEY SMITH (STAFF ACCOUNTANT) |
| Authorized Official Telephone | 6074315305 |
| Is Organization Subpart | Y |
| Parent Organization Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 162010 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1 FOXCARE DR SUITE # 303 |
| City | ONEONTA |
| State | NY |
| Zip Code | 13820-2099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475600 | Connie Lee Spielman | Nurse Practitioner | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2005-11-25 |
| 1437618865 | Joseph Stento | Physical Therapy Assistant | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2019-03-15 |
| 1033698626 | Jessica Jo Terrano | Physical Therapist | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2018-08-14 |
| 1467952580 | Maggie Sherwood | Physical Therapist | 1 Foxcare Dr, Oneonta, NY 13820 | 2018-02-15 |
| 1417462235 | Julia Mazza | Dietitian, Registered | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2017-12-04 |
| 1669986444 | Christopher Justin Rivera | Physical Therapy Assistant | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2017-12-01 |
| 1033634241 | Shirley Ann Earl | Nurse Practitioner | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2017-08-08 |
| 1043663586 | Kathy Bruetsch | Physical Therapy Assistant | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2016-07-20 |
| 1134579121 | Maureen Tarry-hilts | Physical Therapy Assistant | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2016-06-21 |
| 1790135168 | Thomas Connally | Physical Therapy Assistant | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2016-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949162 | Jeffrey Alan Cooke | Nurse Practitioner | 739 State Route 28, Suite 9, Oneonta, NY 13820 | 2020-07-07 |
| 1073072278 | Colleen Marie Cutting | Massage Therapist | 22 Watkins Ave, Suite 102, Oneonta, NY 13820 | 2019-03-18 |
| 1114491925 | Amy Lynne Fletcher-foster | Physical Therapist | 5588 Ny-7, Oneonta, NY 13820 | 2019-01-15 |
| 1114497443 | Cathryn Melissa Hassick | Registered Nurse | 130 East Street, Oneonta, NY 13820 | 2018-11-29 |
| 1043797673 | Shelly Ranae Ashley | Counselor | 242 Main St, Fl 1, Oneonta, NY 13820 | 2018-07-26 |
| 1528561834 | Kaitlin Imperato | Physical Therapist | 5649 Ny-7, Oneonta, NY 13820 | 2018-03-13 |
| 1619413838 | Chloe Zaengle | Occupational Therapist | 1 Norton Avenue, Oneonta, NY 13820 | 2017-01-11 |
| 1508308388 | Amanda Vanburen | Physician Assistant | 739 Nys Rt. 28, Suite 9, Oneonta, NY 13820 | 2016-11-10 |
| 1720477227 | Helaine Rita Feinberg | Speech-Language Pathologist | 105 Campus Drive, Oneonta, NY 13820 | 2015-01-21 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
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| 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 |
|---|---|---|---|---|
| 1528151461 | Bryan Samfort Evanczyk | Obstetrics & Gynecology | 1 Fox Care Drive, Suite 303, Oneonta, NY 13820 | 2006-10-02 |
| 1215207972 | Cherie Perales | Obstetrics & Gynecology | 1 Norton Ave, A.o. Fox Memorial Hospital, Oneonta, NY 13820-2697 | 2012-01-11 |
| 1588869192 | Geraldine M Jean | Obstetrics & Gynecology | 1 Norton Ave, Oneonta, NY 13820-2629 | 2007-06-15 |
| 1104945435 | Diane M Georgeson | Obstetrics & Gynecology | 1 Norton Ave, Oneonta, NY 13820-2629 | 2007-03-28 |
| 1730170465 | Diane M Georgeson Md PC | Obstetrics & Gynecology | 1 Fox Care Dr, Suite 303, Oneonta, NY 13820-2086 | 2005-11-02 |
| 1265426423 | Bryan S Evanczyk Md Inc PC | Obstetrics & Gynecology | 1 Fox Care Dr, Ste 303, Oneonta, NY 13820-2086 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
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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.