Loretta A Obi (NPI# 1659516649, PAC ID# 2769528397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1659516649 |
| PAC ID by PECOS | 2769528397 |
| Professional Enrollment ID | I20091012000401 |
| Full Name | Loretta A Obi |
| Organization Legal Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Address |
1 Norton Ave Oneonta NY 13820-2629 |
| Phone Number | 6074322000 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8325937006 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330085 | AURELIA OSBORN FOX MEMORIAL HOSPITAL |
| 330136 | MARY IMOGENE BASSETT HOSPITAL |
| 330180 | SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Norton Ave, Oneonta, NY 13820-2629 | 6074322000 | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| 2215 Burdett Ave, Troy, NY 12180-2466 | 5182713300 | SAMARITAN HOSPITAL OF TROY NEW YORK |
| Organization Legal Name | AURELIA OSBORN FOX MEMORIAL HOSPITAL SOCIETY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan S Evanczyk | Obstetrics/gynecology | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Jennifer D Kite | Nurse Practitioner | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Nanette L Treadwell | Physician Assistant | Aurelia Osborn Fox Memorial Hospital Society | 438 Main St, Oneonta, NY 13820-2058 |
| Prudencio G Tablang | Anesthesiology | Aurelia Osborn Fox Memorial Hospital Society | 1 Foxcare Dr, Oneonta, NY 13820-2681 |
| Street Address |
1 NORTON AVE |
| City | ONEONTA |
| State | NY |
| Zip | 13820-2629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard W Pretorius | Family Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Brian E Harris | Emergency Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Vincent P Tio | Internal Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Santos O Gonzales | Emergency Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Janine Lynne Sabella | Emergency Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Nalin E Ranasinghe | General Surgery | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony P Cammilleri | Cardiovascular Disease (cardiology) | 48 Dietz St F, Oneonta, NY 13820-1827 | |
| Marie Helene Hegeman | Clinical Social Worker | 8 -12 Dietz St, Suite 201, Oneonta, NY 13820-1849 | |
| Kim Evelyn Halaquist | Nurse Practitioner | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Reynaldo P Lazaro | Neurology | 41 -45 Dietz St, Oneonta, NY 13820-1855 | |
| Eric A Dohner | Family Medicine | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Stanley A Anderson Jr. | Physician Assistant | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| Michael H Weinberg | Physician Assistant | Otsego Medical Services P.C. | 41 -45 Dietz St, Oneonta, NY 13820-1855 |
| William G Carentz Sr. | Clinical Social Worker | 48 Dietz St, Oneonta, NY 13820-1866 | |
| Sura M Page | Clinical Social Worker | 48 Dietz St, Oneonta, NY 13820-1866 | |
| David Allen Joseph | Podiatry | 43 Walnut St, Oneonta, NY 13820-1937 | |
| Find all physicians in zip 13820 | |||
| City | ONEONTA |
| Zip Code | 13820 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ONEONTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Loretta A Obi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.