DR. JORDAN M TANNENBAUM (NPI# 1922000116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922000116 |
| Entity Type | Individual |
| Full Name | DR. JORDAN M TANNENBAUM |
| Credential | M.D. |
| Practice Address |
1 Fox Care Dr Ste 213 Oneonta NY 13820-2086 |
| Practice Telephone | 6074325600 |
| Practice Fax Number | 6074315275 |
| Mailing Telephone | 6074325600 |
| Mailing Fax Number | 6074315275 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 149788 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00279098 | 05 | |
| NY | BLUE CROSS BLUE SHIELD | 002892901 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144727645 | Jordan Tannenbaum | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2018-04-11 |
| Street Address |
1 FOX CARE DR STE 213 |
| City | ONEONTA |
| State | NY |
| Zip Code | 13820-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528287604 | Mark Duane Misiewicz | Physical Therapist | 1 Fox Care Dr, Oneonta, NY 13820-2086 | 2007-04-25 |
| 1578684619 | Cynthia L Ploutz | Nurse Practitioner | 1 Fox Care Dr, Oneonta, NY 13820-2086 | 2007-04-03 |
| 1538288568 | Barbara K Sanders | Nurse Practitioner | 1 Fox Care Dr, Suite 402, Oneonta, NY 13820-2086 | 2007-03-29 |
| 1245364777 | Margaret W. Karl | Pharmacist | 1 Fox Care Dr, Suite 215, Oneonta, NY 13820-2086 | 2007-03-15 |
| 1043329634 | Otsego Magnetic Resonance Imaging Center | Specialist | 1 Fox Care Dr, Suite 104, Oneonta, NY 13820-2086 | 2006-08-29 |
| 1952351215 | John Nolan | Physician Assistant | 1 Fox Care Dr, 308, Oneonta, NY 13820-2086 | 2006-05-10 |
| 1760449144 | Anya Bitterman | Ophthalmology | 1 Fox Care Dr, Suite 100, Oneonta, NY 13820-2086 | 2006-04-28 |
| 1275519282 | Ernest R Levy | Neurological Surgery | 1 Fox Care Dr, Ste 104 Fox Care Center, Oneonta, NY 13820 | 2005-12-21 |
| 1730170465 | Diane M Georgeson Md PC | Obstetrics & Gynecology | 1 Fox Care Dr, Suite 303, Oneonta, NY 13820-2086 | 2005-11-02 |
| 1356335186 | Francis Barra | Dentist | 1 Fox Care Dr, Suite 304, Oneonta, NY 13820-2086 | 2005-09-08 |
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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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821067067 | Tamara Ann Mason | Pediatrics | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2006-03-17 |
| 1548265747 | Nicholas W Tarricone | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2005-06-15 |
| 1669912275 | Godwin Odumah | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2017-03-01 |
| 1992012702 | Jaspreet Sood | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2010-09-01 |
| 1578874459 | Elaine Tsukayama | Pediatrics | 179 River St, Oneonta, NY 13820-2239 | 2010-06-25 |
| 1689835894 | Melissa Ines Ungeheuer | Pediatrics | 1 Foxcare Dr, Oneonta, NY 13820-2099 | 2008-06-19 |
| 1568621811 | William J Fredette | Pediatrics | 1 Norton Ave, Oneonta, NY 13820-2629 | 2008-06-03 |
| 1598899395 | Eastside Ventures, Inc. | Pediatrics | 150 Gilbreath Dr, Suite 201, Oneonta, AL 35121-2827 | 2007-03-15 |
| 1063585750 | Abiodun Oyebola | Pediatrics | 1 Norton Ave, Oneonta, NY 13820-2629 | 2006-11-17 |
| 1255378535 | Elizabeth Blasco | Pediatrics | 125 Main St, Oneonta, NY 13820-2531 | 2006-06-02 |
| Find all providers in ONEONTA | ||||
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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.