ELMIRA PC (NPI# 1770775504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770775504 |
| Entity Type | Organization |
| Organization Name | ELMIRA PC |
| Practice Address |
100 Washington St Elmira NY 14901-2849 |
| Mailing Address |
44 Holland Avenue Albany NY 12229-0001 |
| Practice Telephone | 6077374739 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | ROBERT PUCCIO (DIRECTOR FINANCE) |
| Authorized Official Telephone | 5184730795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02890875 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELMIRA PC REPAIR, INC. | 149-a West Gray Street, Elmira, Ny 14901 |
| Street Address |
100 WASHINGTON ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765740 | Pamela Pappert Wolcott | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-09-22 |
| 1366052243 | Sinead Bond | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-08-05 |
| 1972122737 | Charlene Marie Quick X | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-04-13 |
| 1639798481 | Kimberly Hall | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-04-13 |
| 1548889397 | Leslie Ann Teagarden | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-04-13 |
| 1902446966 | Ana Maria Minke | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-01-08 |
| 1225676851 | Sharon Killam | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-13 |
| 1275171068 | Jennifer Leigh-anne Miller | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-12 |
| 1720625643 | Bonny Adams Smith | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-10 |
| 1316584972 | Susan A Karski | Social Worker | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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|---|---|---|---|---|
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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.