STEPHEN J EBERHARD (NPI# 1780611368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780611368 |
| Entity Type | Individual |
| Full Name | STEPHEN J EBERHARD |
| Credential | M.D. |
| Practice Address |
302 Hoffman St Elmira NY 14905-2263 |
| Practice Telephone | 6077342264 |
| Practice Fax Number | 6077670340 |
| Mailing Telephone | 6077342264 |
| Mailing Fax Number | 6077670340 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 111902 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00372610 | 05 |
| Street Address |
302 HOFFMAN ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306888474 | Kurt L Krause | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-12 |
| 1205242468 | Kimberly Brost | Nurse Practitioner | 302 Hoffman St, Elmira, NY 14905-2263 | 2014-07-09 |
| 1407056575 | Sharon Coughlin | Nurse Practitioner | 302 Hoffman St, Elmira, NY 14905-2263 | 2007-07-18 |
| 1548299837 | Regina Carter-farmer | Nurse Practitioner | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-07-01 |
| 1043248933 | Mary Lou Losinger | Nurse Practitioner | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-29 |
| 1447287024 | Mary B Muse | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1356378939 | Kenneth Sobel | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1588691133 | Amy L White | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1346283710 | Jonathan R Homuth | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-14 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306888474 | Kurt L Krause | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-12 |
| 1841497690 | Ellen Margaret Mchugh | Pediatrics | 200 Madison Ave Ste 2d, Elmira, NY 14901-3219 | 2007-06-27 |
| 1841363553 | Jeffrey Louis Gardner | Pediatrics | 200 Madison Ave, 2b, Elmira, NY 14901-3218 | 2006-11-17 |
| 1275630980 | Lakshmi Bhaskar Biradavolu | Pediatrics | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3218 | 2006-09-17 |
| 1447287024 | Mary B Muse | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1356378939 | Kenneth Sobel | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1588691133 | Amy L White | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-27 |
| 1346283710 | Jonathan R Homuth | Pediatrics | 302 Hoffman St, Elmira, NY 14905-2263 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| 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.