ORLEANS MEDICAL PC (NPI# 1689724262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689724262 |
| Entity Type | Organization |
| Organization Name | ORLEANS MEDICAL PC |
| Practice Address |
11075 W Center Street Ext Medina NY 14103-9557 |
| Practice Telephone | 5857981053 |
| Practice Fax Number | 5857985639 |
| Mailing Telephone | 5857981053 |
| Mailing Fax Number | 5857985639 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JILL E KLOTZBACH (OFFICE MANAGER) |
| Authorized Official Telephone | 5857981053 |
| Authorized Official Credential | MSN, NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00642420 | 05 | |
| NY | 02081836 | 05 |
| Street Address |
11075 W CENTER STREET EXT |
| City | MEDINA |
| State | NY |
| Zip Code | 14103-9557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687127 | Jill E Klotzbach | Nurse Practitioner | 11075 W Center Street Ext, Medina, NY 14103-9557 | 2005-08-23 |
| 1588134670 | Shelby Linnea Carlson | Physical Therapy Assistant | 11075 W Center Street Ext, Medina, NY 14103-9557 | 2018-11-30 |
| 1760463475 | Nagui Emile Adeeb | Urology | 11075 W Center Street Ext, Medina, NY 14103-9557 | 2005-11-09 |
| 1407837198 | Joseph M Misiti | Surgery | 11075 W Center Street Ext, Medina, NY 14103-9557 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772473 | Melody Ann Parker | Licensed Practical Nurse | 1026 Park Avenue, Medina, NY 14103 | 2012-05-18 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1437280955 | Orleans Community Health | Clinic/Center | 11020 West Center Street Ext., Medina, NY 14103 | 2007-03-08 |
| 1902933328 | Sallah U Abbasey | Homeopath | 3662 Culvert Road, Medina, NY 14103 | 2007-02-27 |
| 1548395429 | Salvatore Russell Pecoraro | Emergency Medicine | 200 Ohio Street, Medina Memorial Hospital, Medina, NY 14103 | 2007-02-22 |
| 1285783704 | Medina Central School District | Local Education Agency (LEA) | One Mustang Drive, Medina, NY 14103 | 2007-01-10 |
| 1639278310 | Ekram John Boulos | Otolaryngology | 11075 West Center Street Extension, Medina, NY 14103 | 2006-09-21 |
| 1598771289 | Katherine Price | Midwife | 100 Ohio Street, Medina, NY 14103 | 2006-08-01 |
| 1831156967 | Nadia Alexandra Nava | Physical Therapist | 711 Park Ave, Medina, NY 14103 | 2006-05-01 |
| 1336104090 | Amy Sue Herman | Pharmacist | 526 Main Street, Rosenkrans Pharmacy, Medina, NY 14103 | 2006-04-18 |
| Find all providers in zip 14103 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| Find all providers with the same taxonomy | ||||
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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.