JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC


Address: 21 Porter Ave, Jamestown, NY 14701-6247
Phone: 7166641909

JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC (NPI# 1518041342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518041342
Entity Type Organization
Organization Name JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC
Other Organization Name JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC
Practice Address 21 Porter Ave
Jamestown
NY 14701-6247
Mailing Address Po Box 9
Jamestown
NY 14702-0009
Practice Telephone 7166641909
Practice Fax Number 7166642214
Mailing Telephone 7166641909
Mailing Fax Number 7166642214
Enumeration Date 2006-10-25
Last Update Date 2010-02-02
Authorized Official Name MRS. SUSAN GABUTEN IBABAO (PRACTICE MANAGER)
Authorized Official Telephone 7166641909
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0200X Clinic/Center
Specialization: Oncology
========= NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY GHI 7200341 01
NY 02365855 05
NY MGP 000866280 01
NY MVP 714714 01
NY RR MEDICARE CG8430 01
NY MAGNACARE 11303 01
NY UNIVERA HEALTHCARE 00010352702 01
NY BCBS OF WNY 000524493003 01
NY MEDICARE AA0630 01
NY FIDELIS 040403007130 01
NY AETNA 0007232005 01
NY INDEPENDENT HEALTH 0191329 01
NY NHIC DME JURISDICTION A 1294660001 01

Other Provider/Organization Names

Other Name Type Code
Jamestown Medical Oncology Hematology, LLC Doing Business As Name - Organization

Office Location

Street Address 21 PORTER AVE
City JAMESTOWN
State NY
Zip Code 14701-6247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104313519 Kyle Richard Manscuk Physician Assistant 21 Porter Ave, Jamestown, NY 14701-6247 2018-04-20
1306180443 Rpci Oncology PC Internal Medicine 21 Porter Ave, Jamestown, NY 14701-6247 2012-11-15
1346486388 Oncology Medical and Surgical Supplies, LLC Durable Medical Equipment & Medical Supplies 21 Porter Ave, Jamestown, NY 14701-6247 2008-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952964314 Jennifer Ware Driver 116 Tower St, Jamestown, NY 14701 2019-04-20
1962979005 Kimberly Marlene Crasti Student in an Organized Health Care Education/Training Program 64 Ames Ave, Jamestown, NY 14701 2018-10-26
1679055032 Hannah Abbott Student in an Organized Health Care Education/Training Program 118 Superior St., Jamestown, NY 14701 2018-09-02
1669952172 Taylor Marie Genco Registered Nurse 110 E 4th Street, Jamestown, NY 14701 2018-08-15
1487163978 Molly Morgante Physical Therapy Assistant 410 Crossman Street, Jamestown, NY 14701 2017-09-27
1053832097 Amber Nicole Caylor Licensed Practical Nurse 48 Chautauqua Avenue, Jamestown, NY 14701 2017-06-29
1821520370 John Robert Ferry Registered Nurse 500 Pine St., Suite #15, Jamestown, NY 14701 2017-04-03
1467905638 Mental Health Association In Chautauqua County Case Management 31 Water Street, Suite 7, Jamestown, NY 14701 2016-07-25
1518336387 Tracy Dudley Licensed Practical Nurse 764 Harding Ave, Jamestown, NY 14701 2015-09-22
1174922405 Sylvia A Emerling Social Worker 332 East 4th St, Jamestown, NY 14701 2014-08-22
Find all providers in zip 14701

Taxonomy Information

Taxonomy Code 261QX0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154936029 Azrielhirschfeld Md Clinic/Center 705 Caffrey Ave, Far Rockaway, NY 11691-5301 2020-09-08
1841640638 Sunrise Day Camp Clinic/Center 75 Colonial Springs Rd, Wheatley Heights, NY 11798-1014 2016-06-13
1497098685 Weill Cornell Medical College Clinic/Center 445 E 69th St, New York, NY 10021-5664 2013-04-05
1447410253 Beth Israel Medical Center Clinic/Center 10 Union Sq E Ste 4c, New York, NY 10003-3314 2008-06-16
1306068325 Eileen F Fusco Clinic/Center 26 Maple Ave, Floral Park, NY 11001-2511 2007-05-02
1942346630 Dr Lau Medical Oncology PC Clinic/Center 3609 Main St Ste 6b, Flushing, NY 11354 2007-01-29
1780210112 Camilla Mignucci Clinic/Center 425 E 67th St, New York, NY 10065-6004 2020-03-17
1710520655 Buffalo Medical Group, PC Clinic/Center 295 Essjay Rd, Williamsville, NY 14221-8216 2019-10-23
1740823186 Buffalo Medical Group, PC Clinic/Center 3900 N Buffalo St, Orchard Park, NY 14127-1842 2019-10-17
1366085797 Buffalo Medical Group, PC Clinic/Center 325 Essjay Rd, Williamsville, NY 14221-8243 2019-10-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City JAMESTOWN
Zip Code 14701

Improve Information

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Dataset Information

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.

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