AUBURN COMMUNITY HOSPITAL (NPI# 1962056408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962056408 |
| Entity Type | Organization |
| Organization Name | AUBURN COMMUNITY HOSPITAL |
| Other Organization Name | AUBURN CARDIOLOGY PULMONARY INSTITUTE |
| Practice Address |
17 Lansing Street Auburn NY 13021 |
| Practice Telephone | 3152557011 |
| Practice Fax Number | 3152557099 |
| Mailing Telephone | 3152557011 |
| Mailing Fax Number | 3152557099 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DELICIA HERRICK (MANAGER) |
| Authorized Official Telephone | 3152557343 |
| Is Organization Subpart | Y |
| Parent Organization Name | AUBURN COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Auburn Cardiology Pulmonary Institute | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902889215 | Auburn Community Hospital | Skilled Nursing Facility | 20 Park Ave, Auburn, NY 13021 | 2005-11-22 |
| 1093712911 | Auburn Community Hospital | General Acute Care Hospital | 17 Lansing St, Auburn, NY 13021-1983 | 2005-07-07 |
| 1366923534 | Auburn Community Hospital | Pharmacy | 17 Lansing Street, Pharmacy, Auburn, NY 13021-1983 | 2018-08-27 |
| 1962721373 | Auburn Community Hospital | Psychiatry & Neurology | 17 Lansing St, Hospitalists Dept, Auburn, NY 13021-1983 | 2010-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | AUBURN COMMUNITY HOSPITAL | 17 Lansing Street, Auburn, New York 13021 |
| New York State Corporations | AUBURN COMMUNITY HOSPITAL FOUNDATION, INC. | 17 Lansing Street, Auburn, Ny 13021 |
| Street Address |
17 LANSING STREET |
| City | AUBURN |
| State | NY |
| Zip Code | 13021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194913749 | Auburn Memorial Medical Services, PC | Orthopaedic Surgery | 17 Lansing Street, Attn: C. Mcloud, Auburn, NY 13021 | 2007-10-09 |
| 1366923534 | Auburn Community Hospital | Pharmacy | 17 Lansing Street, Pharmacy, Auburn, NY 13021-1983 | 2018-08-27 |
| 1801169834 | Tracey Lynn Jones | Licensed Practical Nurse | 17 Lansing Street, Auburn, NY 13021 | 2012-02-22 |
| 1104135052 | Stephanie Johnson | Physician Assistant | 17 Lansing Street, Auburn Community Hospital, Auburn, NY 13021 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1659476059 | Auburn Cardiology Associates | Internal Medicine | 3262 Fortune Ct, Auburn, CA 95602-7847 | 2006-09-13 |
| 1891809992 | Rama M Godishala Mdpc | Internal Medicine | 281 Grant Avenue, Auburn, NY 13021 | 2006-08-18 |
| 1306882303 | Auburn Cardiovascular, PC | Internal Medicine | 994 Drew Ln, Auburn, AL 36830-4302 | 2006-06-20 |
| 1265494561 | Venkatesh R. Kandallu | Internal Medicine | 205 10th St Ne, Auburn, WA 98002-4019 | 2006-04-04 |
| 1407828569 | Mary L Borgstadt | Internal Medicine | 735 12th St Se, Auburn, WA 98002-6709 | 2006-02-03 |
| 1710967153 | David N Abisalih | Internal Medicine | 2 Great Falls Plaza, Auburn, ME 04210-5966 | 2006-01-20 |
| 1407831381 | Tennyson G Lee | Internal Medicine | 3200 Bell Rd, Auburn, CA 95603-9244 | 2005-12-13 |
| 1477555316 | Ramamurthy Godishala | Internal Medicine | 281 Grant Ave, Auburn, NY 13021-1421 | 2005-08-11 |
| 1558362343 | Jack Alan Pearson | Internal Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2005-08-03 |
| 1780979849 | Franciscan Medical Group | Internal Medicine | 202 N Division St, Ste 201, Auburn, WA 98001-4939 | 2011-06-16 |
| Find all providers in AUBURN | ||||
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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.