GRAHAM L OTTOSON (NPI# 1265509699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265509699 |
| Entity Type | Individual |
| Full Name | GRAHAM L OTTOSON |
| Credential | CNM |
| Practice Address |
620 W Seneca St Ithaca NY 14850-3326 |
| Practice Telephone | 6072731513 |
| Practice Fax Number | 6072738776 |
| Mailing Telephone | 6072731513 |
| Mailing Fax Number | 6072738776 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | F0002741 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01380556 | 05 |
| Street Address |
620 W SENECA ST |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558437715 | Dana Dicostanzo | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-11-28 |
| 1801382759 | Melissa Doak | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2018-07-03 |
| 1770959710 | Molly M Kornblum | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2015-08-13 |
| 1902200975 | Paula White | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2014-10-20 |
| 1558539783 | Tania P Villa | Physician Assistant | 620 W Seneca St, Ithaca, NY 14850-3326 | 2008-02-11 |
| 1104980515 | Mary Catherine Clapp | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-12-20 |
| 1558423343 | Julia Parete | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-12-15 |
| 1669540233 | Sueane Goodreau | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-12-01 |
| 1821166307 | Joyce Leslie | Family Medicine | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-12-01 |
| 1881761484 | Planned Parenthood of The Southern Finger Lakes Inc. | Non-Pharmacy Dispensing Site | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689919524 | Emeline M Mandeville | Midwife | 1905 Slaterville Rd, Ithaca, NY 14850-6343 | 2012-12-04 |
| 1588783773 | Monica Daniel | Midwife | 253 Applegate Rd N, Ithaca, NY 14850-9271 | 2007-03-28 |
| 1851445258 | Katherine Timmermann Finn | Midwife | 132 Indian Creek Rd, Ithaca, NY 14850-1331 | 2007-01-22 |
| 1730255811 | Gay Nicholson | Midwife | 413 W Clinton St, Ithaca, NY 14850-5266 | 2006-11-28 |
| 1023623741 | Emily Mansur Fox | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2020-09-10 |
| 1255815478 | Leslie Stork | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2018-09-24 |
| 1548760903 | Laura Margaret Maccarald | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2018-02-12 |
| 1184155905 | Erianna Flores | Midwife | 20 Arrowood Dr, Suite A, Ithaca, NY 14850-1869 | 2017-03-23 |
| 1265664213 | Mahrie Amelia Moore | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2009-08-10 |
| 1508934134 | Kathryn A Pierce | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2006-12-01 |
| Find all providers in ITHACA | ||||
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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.