OLEAN GENERAL HOSPITAL (NPI# 1073956850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073956850 |
| Entity Type | Organization |
| Organization Name | OLEAN GENERAL HOSPITAL |
| Other Organization Name | FOOTHILLS MEDICAL GROUP AT BRMC RHC |
| Practice Address |
116 Interstate Pkwy Suite 42 Bradford PA 16701-1036 |
| Mailing Address |
116 Interstate Pkwy Bradford PA 16701-1036 |
| Practice Telephone | 8143684143 |
| Practice Fax Number | 8143628385 |
| Mailing Telephone | 8143684143 |
| Mailing Fax Number | 8143628385 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | SUE PASCARELLA (PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 8143628509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5141201 | PA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 5141201 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CMS CERTIFICATION | 393420 | 01 |
| Other Name | Type Code |
|---|---|
| Foothills Medical Group at BRMC RHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014691 | Olean General Hospital | Skilled Nursing Facility | 200 Pleasant Street, Bradford, PA 16701 | 2005-09-21 |
| 1700426418 | Olean General Hospital | Psychiatric Unit | 515 Main St, Olean, NY 14760-1513 | 2020-01-10 |
| 1053744706 | Olean General Hospital | Family Medicine | 122 West Main Street, Mt. Jewett, PA 16740 | 2013-08-16 |
| 1801133210 | Olean General Hospital | Internal Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2013-01-07 |
| 1164779286 | Olean General Hospital | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-08-08 |
| 1063784726 | Olean General Hospital | Pathology | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1336411099 | Olean General Hospital | Pediatrics | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1245502905 | Olean General Hospital | Internal Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1033499017 | Olean General Hospital | General Acute Care Hospital | 515 Main St, Olean, NY 14760-1513 | 2011-08-23 |
| 1720308117 | Olean General Hospital | Dentist | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2010-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OLEAN GENERAL HOSPITAL | 515 Main St, Olean, NY 14760-1513 |
| New York State Corporations | OLEAN GENERAL HOSPITAL FOUNDATION | 515 Main Street, Olean, New York 14760 |
| Street Address |
116 INTERSTATE PKWY SUITE 42 |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123060 | Nathaniel Lars Graham | Surgery | 116 Interstate Pkwy, Suite 31, Bradford, PA 16701-1036 | 2005-06-09 |
| 1063909661 | Scott Flick | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2018-04-18 |
| 1114439023 | Cynthia Simms | Registered Nurse | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-11-01 |
| 1396275970 | Mary Siepierski | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-06-15 |
| 1396287991 | Keystone Medical Services of Bradford PC | Emergency Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-11-14 |
| 1245781426 | Tracy Lynn Andrus | Physician Assistant | 116 Interstate Pkwy, Suite 32, Bradford, PA 16701-1036 | 2016-10-22 |
| 1184081911 | Andrew Davidson | Nurse Practitioner | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-01-25 |
| 1699177725 | Megan Powell | Dietitian, Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-09-19 |
| 1588076194 | David Hefferan | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-05-30 |
| 1801133210 | Olean General Hospital | Internal Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2013-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710327986 | Sri Nidhi Ganji | Pediatrics | 116 Interstate Pkwy Ste 42, Bradford, PA 16701-1036 | 2013-07-02 |
| 1386718500 | Mark Steven Harris | Pediatrics | 1123 South Rd, Bradford, VT 05033-8803 | 2006-11-20 |
| 1851407118 | Margarethe M Chobanian | Pediatrics | 437 South Main St, Bradford, VT 05033 | 2006-08-21 |
| 1194771519 | Narayan Nayak | Pediatrics | 195 Pleasant St, Bradford, PA 16701-1081 | 2006-05-26 |
| 1336411099 | Olean General Hospital | Pediatrics | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1558560490 | Rebecca Leigh Yukica | Pediatrics | 331 Upper Pln, Bradford, VT 05033-9207 | 2007-07-11 |
| 1881891133 | Joseph H Goro | Pediatrics | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2007-06-29 |
| 1154483543 | Upper Valley Pediatrics | Pediatrics | 331 Upper Plain, Bradford, VT 05033 | 2006-12-14 |
| 1952460800 | Thomas Clark | Pediatrics | 331 Upper Plain, Bradford, VT 05033 | 2006-12-07 |
| 1164468294 | Rebecca Miller | Pediatrics | 116 Interstate Pkwy, Fourth Floor, Bradford, PA 16701-1036 | 2006-06-20 |
| Find all providers in BRADFORD | ||||
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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.