DR. KELLY EILEEN TEAGLE (NPI# 1992095483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992095483 |
| Entity Type | Individual |
| Full Name | DR. KELLY EILEEN TEAGLE |
| Credential | D.O. |
| Practice Address |
161 Riverside Dr Binghamton NY 13905-4176 |
| Mailing Address |
17 Marges Way Hopewell Junction NY 12533-5002 |
| Practice Telephone | 6077701155 |
| Practice Fax Number | 6077701968 |
| Mailing Telephone | 8455460788 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 278898 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17 Marges Way, Hopewell Junction, NY 125335002 | 8455460788 |
| Street Address |
161 RIVERSIDE DR |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468130 | Michael J Fidler | Dentist | 161 Riverside Dr, Ste 201, Binghamton, NY 13905-4178 | 2005-06-28 |
| 1487103024 | Jaime Lynn Fernandez | Nurse Practitioner | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-09-23 |
| 1801249669 | Mary Ann Wilson | Audiologist | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-07-18 |
| 1881048643 | Kristen Bishop | Nurse Practitioner | 161 Riverside Dr, Suite #302, Binghamton, NY 13905-4176 | 2016-04-19 |
| 1508249459 | Raza Ashraf | Family Medicine | 161 Riverside Dr, Binghamton, NY 13905 | 2015-07-09 |
| 1497183438 | Tina Marie Slocum | Advanced Practice Midwife | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2013-10-30 |
| 1659719409 | Nina C Gaube | Nurse Practitioner | 161 Riverside Dr, Suite 210, Binghamton, NY 13905-4176 | 2013-06-13 |
| 1013254036 | Binghamton Plastic Surgery, Pllc | Specialist | 161 Riverside Dr, Suite 106, Binghamton, NY 13905-4176 | 2013-01-10 |
| 1922391754 | Michelle Ann Drilon | Pediatrics | 161 Riverside Dr, Suite 206, Binghamton, NY 13905-4176 | 2011-05-26 |
| 1184933954 | Richard L Blansky Pllc | Internal Medicine | 161 Riverside Dr, Suite 210, Binghamton, NY 13905-4176 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| 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 |
|---|---|---|---|---|
| 1437537735 | Arthur Stephen Levy | Internal Medicine | 15 Bennett Ave, Binghamton, NY 13905-4307 | 2015-05-07 |
| 1851588362 | Jungsil K Cusimano Md PC | Internal Medicine | 68 Oak St, Binghamton, NY 13905-4625 | 2007-09-28 |
| 1629279682 | Atif Saleem | Internal Medicine | 40 Mitchell Ave Suite 3, Binghamton, NY 13903-1678 | 2007-05-29 |
| 1609092741 | Shamsher Kaur Dhillon | Internal Medicine | 3600 Vestal Parkway East, Health Services, Binghamton, NY 13902-6000 | 2007-04-17 |
| 1154332062 | Carlos Ezequiel Martinez | Internal Medicine | 277 Riverside Dr, Binghamton, NY 13905-4060 | 2006-08-10 |
| 1992768170 | Mian Niaz Ahmad | Internal Medicine | 425 Robinson St, Binghamton Veterans Clinic, Binghamton, NY 13901-4101 | 2006-04-10 |
| 1134646276 | Southern Tier Medical Care - Ny PC | Internal Medicine | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2017-08-29 |
| 1245757392 | Abdelhamid Ben Selma | Internal Medicine | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2017-08-29 |
| 1184078404 | Fahad Imtiaz Malik | Internal Medicine | 40 Mitchell Avenue, Binghamton, NY 13903 | 2016-04-22 |
| 1649638859 | F Keith Kennedy Md PC | Internal Medicine | 21 Mitchell Ave, Binghamton, NY 13903-1653 | 2016-02-02 |
| Find all providers in BINGHAMTON | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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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.