Gwen A Manley (NPI# 1245270461, PAC ID# 3779628342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245270461 |
| PAC ID by PECOS | 3779628342 |
| Professional Enrollment ID | I20100308000108 |
| Full Name | Gwen A Manley |
| Organization Legal Name | OTSEGO MEDICAL SERVICES P.C. |
| Address |
157 E Main St Norwich NY 13815-1521 |
| Phone Number | 6073362400 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941381644 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330033 | CHENANGO MEMORIAL HOSPITAL, INC |
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 157 E Main St, Norwich, NY 13815-1521 | 6073362400 | OTSEGO MEDICAL SERVICES P.C. |
| Organization Legal Name | OTSEGO MEDICAL SERVICES P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Evelyn Halaquist | Nurse Practitioner | Otsego Medical Services P.C. | 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 |
| Joelle Underwood | Nurse Practitioner | Otsego Medical Services P.C. | 157 E Main St, Norwich, NY 13815-1521 |
| Anne M St Pierre | Nurse Practitioner | Otsego Medical Services P.C. | 157 E Main St, Norwich, NY 13815-1521 |
| Dawn C Lawyer | Nurse Practitioner | Otsego Medical Services P.C. | 157 E Main St, Norwich, NY 13815-1521 |
| 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 |
| Street Address |
157 E MAIN ST |
| City | NORWICH |
| State | NY |
| Zip | 13815-1521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joelle Underwood | Nurse Practitioner | Otsego Medical Services P.C. | 157 E Main St, Norwich, NY 13815-1521 |
| Anne M St Pierre | Nurse Practitioner | Otsego Medical Services P.C. | 157 E Main St, Norwich, NY 13815-1521 |
| Dawn C Lawyer | Nurse Practitioner | Otsego Medical Services P.C. | 157 E Main St, Norwich, NY 13815-1521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn Evan Stein | Optometry | 5811 Co Rte, Suite 32, Norwich, NY 13815 | |
| Matthew K Reppert | General Surgery | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Mark K Jackson | Diagnostic Radiology | Ronald H Sacks Md PC | 179 N Broad St, Norwich, NY 13815-1019 |
| Jeffrey A Todd | Podiatry | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Christina Annette Mann | Certified Nurse Midwife (cnm) | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Franklin R Baxter | Obstetrics/gynecology | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Anna M Ward | Family Medicine | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Michael Weinberger | Internal Medicine | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Kristen Kay Menard | Nurse Practitioner | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Patricia L Warski | Podiatry | Chenango Memorial Hospital, Inc | 179 N Broad St, Norwich, NY 13815-1019 |
| Find all physicians in zip 13815 | |||
| City | NORWICH |
| Zip Code | 13815 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORWICH + NURSE PRACTITIONER |
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| 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.