Elizabeth M Cooley (NPI# 1871748020, PAC ID# 6406038520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1871748020 |
PAC ID by PECOS | 6406038520 |
Professional Enrollment ID | I20110310000932 |
Full Name | Elizabeth M Cooley |
Organization Legal Name | FAXTON - ST LUKES HEALTHCARE |
Address |
35 Riverside Dr Utica NY 13502-2320 |
Phone Number | 3156248400 |
Gender | F |
Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2769380252 |
Number of Group Practice Members | 149 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330245 | ST ELIZABETH MEDICAL CENTER |
330044 | FAXTON-ST LUKE'S HEALTHCARE |
330215 | ROME MEMORIAL HOSPITAL, INC |
Address | Phone | Organization |
---|---|---|
801 N James St, Rome, NY 13440-3524 | 9149491199 | NEW YORK GENERAL MEDICAL SERVICES PC |
35 Riverside Dr, Utica, NY 13502-2320 | 3156248400 | FAXTON - ST LUKES HEALTHCARE |
Organization Legal Name | FAXTON - ST LUKES HEALTHCARE |
Physicians | 161 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary-jane Elizabeth Borst | Nurse Practitioner | Faxton - St Lukes Healthcare | 3946 Oneida St, New Hartford, NY 13413-9702 |
Alyssia M Lloyd | Nurse Practitioner | Faxton - St Lukes Healthcare | 2888 Oneida St, Sauquoit, NY 13456-3110 |
Irena Kokot | Family Medicine | Faxton - St Lukes Healthcare | 8411 Seneca Tpke, New Hartford Medical Office, New Hartford, NY 13413-4912 |
Jonathan D Wigderson | Orthopedic Surgery | Faxton - St Lukes Healthcare | 1903 Sunset Ave, Utica, NY 13502-5617 |
Adam F Seigers | Family Medicine | Faxton - St Lukes Healthcare | 13460 State Route 12, Boonville, NY 13309-3531 |
Mario Carrillo | Vascular Surgery | Faxton - St Lukes Healthcare | 1676 Sunset Ave, Utica, NY 13502-5416 |
Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
John Sperling | General Surgery | Faxton - St Lukes Healthcare | 1656 Champlin Ave, New Hartford, NY 13413-1068 |
Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
David P Petrie | Family Medicine | Faxton - St Lukes Healthcare | 358 Madison St, Waterville, NY 13480-1116 |
Street Address |
35 RIVERSIDE DR |
City | UTICA |
State | NY |
Zip | 13502-2320 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
Komgrit Chukiert | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
Thomas E Gwilt | Nurse Practitioner | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
Morey L Rosenwach | Clinical Social Worker | 35 Riverside Dr, Binghamton, NY 13905-4508 | |
Ghassan Koussa | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
Dawn R White | Clinical Social Worker | 35 Riverside Dr, Binghamton, NY 13905-4508 | |
Sushma Kaul | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
Rachel M Hare | Clinical Social Worker | 35 Riverside Dr, Binghamton, NY 13905-4508 |
Name | Specialty | Organization | Address |
---|---|---|---|
Terry F Lutz | Optometry | 710 Horatio St, Suite 700, Utica, NY 13502-1461 | |
Edward J Casper Jr. | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1605 | |
Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
Salvatore Capuana | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1661 | |
David M Abdoo | Physical Therapy | 430 Coventry Ave, Utica, NY 13502-1764 | |
Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
Jonathan D Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
Venkata R Mannava | Family Practice | 320 Herkimer Rd, Utica, NY 13502-2348 | |
Paul Marinuzzi Jr. | Chiropractic | 9841 River Rd, Utica, NY 13502-2358 | |
Emile Wassel | Nephrology | Kidney and Hypertension Consultant, Pllc | 1450 Champlin Ave, Utica, NY 13502-3662 |
Find all physicians in zip 13502 |
City | UTICA |
Zip Code | 13502 |
Specialty | FAMILY MEDICINE |
City + Specialty | UTICA + FAMILY MEDICINE |
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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.