KENNETH WRIGLEY (NPI# 1770641714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770641714 |
| Entity Type | Individual |
| Full Name | KENNETH WRIGLEY |
| Credential | P.A. |
| Practice Address |
300 Hoffman St Elmira NY 14905-2263 |
| Mailing Address |
722 W Water St Elmira NY 14905-2435 |
| Practice Telephone | 6077344110 |
| Practice Fax Number | 6077340344 |
| Mailing Telephone | 6072712050 |
| Mailing Fax Number | 6072712099 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000502 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01247621 | 05 |
| Street Address |
300 HOFFMAN ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699712505 | Finger Lakes Orthopedic Surgery,p.c. | Legal Medicine | 300 Hoffman St, Elmira, NY 14905-2263 | 2006-05-31 |
| 1487966842 | Guy Klein | Orthopaedic Surgery | 300 Hoffman St, Elmira, NY 14905-2263 | 2010-07-13 |
| 1295050847 | Jonathan Winkworth Shearin | Orthopaedic Surgery | 300 Hoffman St, Elmira, NY 14905-2263 | 2010-04-06 |
| 1962641878 | Jennifer L Burfield | Nurse Practitioner | 300 Hoffman St, Elmira, NY 14905-2263 | 2009-02-17 |
| 1144472382 | Allison Dhaene | Physician Assistant | 300 Hoffman St, Elmira, NY 14905-2263 | 2008-10-21 |
| 1598987083 | Melissa D Willenborg | Orthopaedic Surgery | 300 Hoffman St, Elmira, NY 14905-2263 | 2007-05-03 |
| 1538227558 | Brenda Miller | Nurse Practitioner | 300 Hoffman St, Elmira, NY 14905-2263 | 2006-12-04 |
| 1043300346 | Matthew R Brand | Orthopaedic Surgery | 300 Hoffman St, Elmira, NY 14905-2263 | 2006-10-15 |
| 1649282088 | William C Bishop | Orthopaedic Surgery | 300 Hoffman St, Elmira, NY 14905-2263 | 2006-08-13 |
| 1396757753 | Mark D Gibson | Orthopaedic Surgery | 300 Hoffman St, Elmira, NY 14905-2263 | 2006-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150987 | Amanda Denicola | Physician Assistant | 138 Broadway Street, Elmira, NY 14904 | 2018-10-16 |
| 1942720891 | Erica Lynne Angelino | Physician Assistant | 600 Fitch St Ste 102, Elmira, NY 14905-1634 | 2017-06-21 |
| 1902907892 | Samuel J Russell | Physician Assistant | 555 Saint Josephs Blvd Ste M2, Elmira, NY 14901-3223 | 2006-09-26 |
| 1366540387 | Denis Charles Kingsley | Physician Assistant | 447 East Water Street, Elmira, NY 14901-3410 | 2006-09-21 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1386119519 | Alison R Eason | Physician Assistant | 200 Madison Ave Ste 2d, Elmira, NY 14901-3219 | 2018-10-03 |
| 1235589037 | Morgan John Conwell | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2016-06-13 |
| 1306202023 | Emily E. Martinez | Physician Assistant | 2572 N Us Highway 131, Elmira, MI 49730-8252 | 2016-01-11 |
| 1831579028 | Jacob Holmwood | Physician Assistant | 600 Ivy St, Ste 201, Elmira, NY 14905-1627 | 2015-06-03 |
| 1093145880 | Danielle Soya | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2013-11-15 |
| Find all providers in ELMIRA | ||||
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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.