Todd T Churchill (NPI# 1245231471, PAC ID# 4688630056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245231471 |
| PAC ID by PECOS | 4688630056 |
| Professional Enrollment ID | I20041207000978 |
| Full Name | Todd T Churchill |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Address |
1 Foxcare Dr Suite 302 Oneonta NY 13820-2086 |
| Phone Number | 6074315290 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3779488325 |
| Number of Group Practice Members | 559 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330085 | AURELIA OSBORN FOX MEMORIAL HOSPITAL |
| 330136 | BASSETT HEALTHCARE |
| 331305 | O'CONNOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Foxcare Dr, Suite 302, Oneonta, NY 13820-2086 | 6074315290 | MARY IMOGENE BASSETT HOSPITAL |
| Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
| Physicians | 631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Gail Stark | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
| Nomi-kaie Bennett | Psychologist, Clinical | Mary Imogene Bassett Hospital | 136 Pkwy Dr, Cobleskill, NY 12043-5150 |
| Sarah Hardy | Nurse Practitioner | Mary Imogene Bassett Hospital | 8 Park Pl, St Johnsville, NY 13452-1332 |
| Kristen A Herbst | Orthopedic Surgery | Mary Imogene Bassett Hospital | 1 Associate Dr, Oneonta, NY 13820-2266 |
| Taylen C Peaden | Family Practice | Mary Imogene Bassett Hospital | 170 Burwell St, Little Falls, NY 13365-1716 |
| Laura A Everett | Nurse Practitioner | Mary Imogene Bassett Hospital | 55 Calvary Dr, Norwich, NY 13815-1032 |
| Sarah M | Nurse Practitioner | Mary Imogene Bassett Hospital | 140 Burwell St, Little Falls, NY 13365-1725 |
| Patrick William Mannal | Plastic and Reconstructive Surgery | Mary Imogene Bassett Hospital | Greystone Commercial Park, 4580 State Route 28, Milford, NY 13807-1147 |
| Jennifer Oreilly | Family Medicine | Mary Imogene Bassett Hospital | 39 Pearl St W, Sidney, NY 13838-1330 |
| Robert J Garfield | Family Medicine | Mary Imogene Bassett Hospital | 32 -34 Main St, Stamford, NY 12167-1241 |
| Street Address |
1 FOXCARE DR SUITE 302 |
| City | ONEONTA |
| State | NY |
| Zip | 13820-2086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myung K Allen | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 302, Oneonta, NY 13820-2086 |
| Jacqueline F Kelchlin | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 211, Oneonta, NY 13820-2154 |
| Anya Bitterman | Ophthalmology | 1 Foxcare Dr, Suite 100, Oneonta, NY 13820-2681 | |
| Kelley A Birmingham | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 308, Oneonta, NY 13820-2086 |
| Benjamin N Friedell | Family Medicine | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 308, Oneonta, NY 13820-2086 |
| Christian J Mulik | Internal Medicine | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 308, Oneonta, NY 13820-2086 |
| Mark Archibald | Optometry | Anya Bitterman Md PC | 1 Foxcare Dr, Suite 100, Oneonta, NY 13820-2681 |
| Linda I Lofrumento | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 103, Oneonta, NY 13820-2681 |
| Prudencio G Tablang | Anesthesiology | Aurelia Osborn Fox Memorial Hospital Society | 1 Foxcare Dr, Oneonta, NY 13820-2681 |
| 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 Todd T Churchill.
| 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.