Keith A Gembusia (NPI# 1205020245, PAC ID# 5496871972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205020245 |
| PAC ID by PECOS | 5496871972 |
| Professional Enrollment ID | I20100922000751 |
| Full Name | Keith A Gembusia |
| Organization Legal Name | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Address |
120 1st St Bolivar NY 14715-1132 |
| Phone Number | 5855931100 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012828486 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330096 | JONES MEMORIAL HOSPITAL |
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 120 1st St, Bolivar, NY 14715-1132 | 5855931100 | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| 191 N Main St, Wellsville, NY 14895-1150 | 5855931100 | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Organization Legal Name | THE MEMORIAL HOSPITAL OF WILLIAM F. AND GERTRUDE F. JONES, INC. |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Haring | Obstetrics/gynecology | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| David Roae | Nurse Practitioner | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 5877 Old State Rd, Belmont, NY 14813-9616 |
| Shannon M Mooney | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 13 Loder St, Wellsville, NY 14895-1112 |
| April L Wesche | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Jennifer Middaugh | Certified Nurse Midwife (cnm) | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Andres I Rubert Jr. | Obstetrics/gynecology | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Du Van Nguyen | General Surgery | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Lu Ann Kaye | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Cortni Monroe | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 120 1st St, Bolivar, NY 14715-1132 |
| Steven M Collins | Family Medicine | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 191 N Main St, Wellsville, NY 14895-1150 |
| Street Address |
120 1ST ST |
| City | BOLIVAR |
| State | NY |
| Zip | 14715-1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cortni Monroe | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 120 1st St, Bolivar, NY 14715-1132 |
| City | BOLIVAR |
| Zip Code | 14715 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOLIVAR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith A Gembusia.
| 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.