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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
========= | NY | Ambulatory Health Care Facilities |
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 Name | Type Code |
---|---|
Jamestown Medical Oncology Hematology, LLC | Doing Business As Name - Organization |
Street Address |
21 PORTER AVE |
City | JAMESTOWN |
State | NY |
Zip Code | 14701-6247 |
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 |
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 Code | 261QX0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology |
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] |
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 |
Please comment or provide details below to improve the information on JAMESTOWN MEDICAL ONCOLOGY HEMATOLOGY, LLC.
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.