KUDOS MEDICAL PLLC (NPI# 1801303532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801303532 |
| Entity Type | Organization |
| Organization Name | KUDOS MEDICAL PLLC |
| Practice Address |
304 Genesee St Chittenango NY 13037-1707 |
| Practice Telephone | 3156876467 |
| Practice Fax Number | 3152512240 |
| Mailing Telephone | 3156876467 |
| Mailing Fax Number | 3152512240 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | IFECHUKWUDE OJUGBELI (OWNER) |
| Authorized Official Telephone | 3156876467 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | 209777 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3709 Erie Blvd E, De Witt, NY 132142227 | 3152512244 | 3152512240 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KUDOS MEDICAL PLLC | 304 Genesee Street, Chittenango, New York 13037 |
| Street Address |
304 GENESEE ST |
| City | CHITTENANGO |
| State | NY |
| Zip Code | 13037-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437171964 | Nancy Helen Gaskill | Physician Assistant | 304 Genesee St, Chittenango, NY 13037-1707 | 2006-07-24 |
| 1972904662 | Chittenango Medical & Wellness Assoc PC | Physician Assistant | 304 Genesee St, Chittenango, NY 13037-1707 | 2014-09-12 |
| 1619088812 | Diane Sophia Ojugbeli | Family Medicine | 304 Genesee St, Chittenango, NY 13037-0001 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506486 | Randee Ann Mccormick | Licensed Practical Nurse | 112 S. Berkey Drive, Chittenango, NY 13037 | 2018-01-17 |
| 1154877785 | Sean Laubenstein | Physical Therapist | 3198 Route 5 West, Chittenango, NY 13037 | 2016-09-01 |
| 1326411224 | Nicole Mastrangelo | Pharmacist | Kinney Drugs, 540 E. Genesee St., Chittenango, NY 13037 | 2015-11-02 |
| 1861736357 | Bridget A Frio Od | Optometrist | 303 Genesee Street, Chittenango, NY 13037 | 2012-11-21 |
| 1417228933 | Seth Lee Stucker | Military Health Care Provider | 6732 Ramsgate Road, Chittenango, NY 13037 | 2012-01-13 |
| 1376868257 | Meredith Corbett Albert | Physical Therapist | 1398 Route 5 West, Chittenango, NY 13037 | 2010-04-02 |
| 1679709877 | Sylvia B. Brodhead | Registered Nurse | 2277 Osborne Road, Chittenango, NY 13037 | 2009-06-03 |
| 1932279932 | Chittenango Dental | Dentist | 153 West Genesee Street, Chittenango, NY 13037 | 2006-11-08 |
| 1831206010 | Kph Healthcare Services, Inc. | Pharmacy | 540 Genesee St., Chittenango, NY 13037 | 2006-08-24 |
| 1619940756 | Daniel G Kingsley | Physical Therapist | 1398 Route 5 W, Chittenango, NY 13037 | 2006-02-09 |
| Find all providers in zip 13037 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710059530 | Ifechukwude Onyeoba Ojugbeli | Internal Medicine | 304 Genesee Street, Chittenango, NY 13037-1707 | 2006-11-15 |
| 1700810678 | Robert T Friedman | Internal Medicine | 153 W Genesee St, Lower Level, Chittenango, NY 13037-1528 | 2006-07-10 |
| 1467494013 | Kenneth Joseph Imboden | Internal Medicine | 153 W Genesee St, Upper Level, Chittenango, NY 13037-1528 | 2006-06-11 |
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| Find all providers with the same taxonomy | ||||
| City | CHITTENANGO |
| Zip Code | 13037 |
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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.