EDWIN P HUTSAL (NPI# 1861469819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861469819 |
| Entity Type | Individual |
| Full Name | EDWIN P HUTSAL |
| Credential | M.D. |
| Practice Address |
600 Roe Ave Elmira NY 14905-1629 |
| Mailing Address |
100 E 14th St Elmira Heights NY 14903-1318 |
| Practice Telephone | 6077343414 |
| Practice Fax Number | 6077349728 |
| Mailing Telephone | 6077346237 |
| Mailing Fax Number | 6077349728 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2010-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
129259-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00360141 | 05 |
| Street Address |
600 ROE AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629768 | Ziya Bilen | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2005-06-20 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1053933499 | Branden Riggins | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-08 |
| 1184245664 | Bradley Steven Phelps | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-06 |
| 1497376263 | Lucas Edward Place | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-02 |
| 1568083475 | John Michael Yavorski IIi | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-01 |
| 1083235139 | Devin Craig Thompson | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-29 |
| 1538780887 | Alexandra Helena Sheriff | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-28 |
| 1801417217 | Fatima Asfia Qadri | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-27 |
| 1376163386 | Jaskarn Virk | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-20 |
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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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1356587414 | Imaging Radiology Associates,llc | Radiology | 751 E Church St, Elmira, NY 14901-2836 | 2008-12-19 |
| 1457656688 | Greater Northeast Radiology Associates, P.C. | Radiology | 751 E Church St, Elmira, NY 14901-2836 | 2011-01-19 |
| 1376633313 | Kevin H. Klayman | Radiology | 600 Roe Ave, Arnot Ogden Medical Center, Elmira, NY 14905 | 2006-10-13 |
| 1255309985 | Edwin R Acosta | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1811965502 | Thomas F Taylor | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1871561522 | Edward D Williams | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1013985761 | John H Chotkowski | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1922075902 | John R Mootz | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-08 |
| 1417924408 | David T Rayne | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-08 |
| 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.