SOLDIERS & SAILORS MEMORIAL HOSPITAL (NPI# 1972101491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972101491 |
| Entity Type | Organization |
| Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Practice Address |
367 E Main St Waterloo NY 13165-1662 |
| Mailing Address |
418 N Main St Penn Yan NY 14527-1070 |
| Practice Telephone | 3157874977 |
| Mailing Telephone | 3155312000 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | MR. JEFFREY H MORGAN (CFO & TREASURER) |
| Authorized Official Telephone | 3157874030 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Seneca Family Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989265 | Soldiers & Sailors Memorial Hospital | Family Medicine | 1991 Balsley Rd, Seneca Falls, NY 13148-9797 | 2020-10-16 |
| 1538708128 | Soldiers & Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-12-30 |
| 1891972774 | Soldiers & Sailors Memorial Hospital | Anesthesiology | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1629255500 | Soldiers & Sailors Memorial Hospital | Surgery | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1376686162 | Soldiers & Sailors Memorial Hospital | Skilled Nursing Facility | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1285777086 | Soldiers & Sailors Memorial Hospital | Psychiatric Unit | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1093858896 | Soldiers & Sailors Memorial Hospital | Medicare Defined Swing Bed Unit | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1043353618 | Soldiers & Sailors Memorial Hospital | Emergency Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1215044516 | Soldiers & Sailors Memorial Hospital | Emergency Medical Technician, Paramedic | 418 N Main St, Penn Yan, NY 14527-1085 | 2006-08-23 |
| Street Address |
367 E MAIN ST |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053496315 | Roberta L. Korich | Nurse Practitioner | 367 E Main St, Seneca Family Health Center, Waterloo, NY 13165-1643 | 2006-10-26 |
| 1750471512 | Debbie L. Heit | Family Medicine | 367 E Main St, Waterloo, NY 13165-1643 | 2006-10-13 |
| 1518053719 | Kenneth E Mathis | Physician Assistant | 367 E Main St, Waterloo, NY 13165-1643 | 2006-10-05 |
| 1013023308 | Janet L Owen | Nurse Practitioner | 367 E Main St, Waterloo, NY 13165-1643 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1033777610 | Emily Rose Pursley | Family Medicine | Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1609434281 | Shalini Chowdavarapu | Family Medicine | Ne Ia Family Practice Center, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1669826640 | Sapna Patel | Family Medicine | 2140 Logan Ave Ste C, Waterloo, IA 50703-1002 | 2016-04-15 |
| 1174752802 | Lane A Noble | Family Medicine | 2055 Kimball Ave Ste 100, Waterloo, IA 50702-5014 | 2009-07-01 |
| 1568698389 | Michelle Sarah Craig | Family Medicine | 2710 St. Francis Drive, Suite 210, Waterloo, IA 50702-5401 | 2009-06-08 |
| 1386879724 | Lydia Mustafic | Family Medicine | 2710 Saint Francis Dr Ste 210, Waterloo, IA 50702-5664 | 2009-05-28 |
| 1386651560 | David Robert Kobliska | Family Medicine | 2710 St.francis Dr, Waterloo, IA 50702-2081 | 2006-08-01 |
| Find all providers in WATERLOO | ||||
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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.