GREG V WIXSOM (NPI# 1043236391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043236391 |
| Entity Type | Individual |
| Full Name | GREG V WIXSOM |
| Credential | D.P.M. |
| Practice Address |
38 Front St 2b Binghamton NY 13905-4712 |
| Mailing Address |
111 E 14th St Elmira Heights NY 14903-1303 |
| Practice Telephone | 6077241263 |
| Practice Fax Number | 6077231280 |
| Mailing Telephone | 6077349539 |
| Mailing Fax Number | 6077346293 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 003005 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00577151 | 05 |
| Street Address |
38 FRONT ST 2B |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773984 | Govardhan Sonthineni | Physical Medicine & Rehabilitation | 38 Front St, Binghamton, NY 13905-4712 | 2005-10-11 |
| 1073966065 | Dee Skinner | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2016-07-14 |
| 1659738557 | Mallory Woodrow | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2016-01-22 |
| 1740686088 | Lydia Komatinsky | Registered Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2014-11-14 |
| 1922402569 | Nicole Ross | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2014-10-10 |
| 1811307275 | Lisa Plutino | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2014-05-06 |
| 1629494778 | Louann Jewell | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2014-03-13 |
| 1316372832 | Kathleen Marie Musso | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2013-09-04 |
| 1487996120 | Sylvia M Johnson | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2013-03-20 |
| 1750622916 | Mary Beth Baird | Licensed Practical Nurse | 38 Front St, Suite D, Binghamton, NY 13905-4712 | 2013-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467832774 | Tier Podiatric Home Care Pllc | Podiatrist | 7 Woodland Ave, Binghamton, NY 13903-3329 | 2015-06-02 |
| 1154323194 | Shari L Nichols | Podiatrist | 65 Pennsylvania Ave, Suite 200, Binghamton, NY 13903-1651 | 2005-08-10 |
| 1467450429 | Parker Gennett | Podiatrist | 134 Riverside Dr, Binghamton, NY 13905-4219 | 2005-07-13 |
| 1295258366 | Helen Shnol | Podiatrist | 169 Riverside Drive, Podiatric Residency Program, Binghamton, NY 13905 | 2017-07-20 |
| 1275976128 | Angela Freeman | Podiatrist | 91 Chenango Bridge Rd, Binghamton, NY 13901-1293 | 2013-04-10 |
| 1659698991 | Bradley Hart | Podiatrist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2010-04-27 |
| 1699941948 | Jennifer Y Sweet | Podiatrist | 91 Chenango Bridge Rd, Binghamton, NY 13901-1293 | 2008-05-07 |
| 1144381443 | James Edward Mcnerney | Podiatrist | 65 Pennsylvania Ave, Suite 200, Binghamton, NY 13903-1651 | 2006-12-12 |
| 1104837434 | Binghamton Podiatry PC | Podiatrist | 38 Front St, # 2b, Binghamton, NY 13905-4712 | 2006-08-11 |
| 1164450649 | Robert C Philips | Podiatrist | 134 Riverside Dr, Binghamton, NY 13905-4219 | 2006-06-30 |
| Find all providers in BINGHAMTON | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.