CHARLES COLE MEMORIAL HOSPITAL (NPI# 1902273428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902273428 |
| Entity Type | Organization |
| Organization Name | CHARLES COLE MEMORIAL HOSPITAL |
| Other Organization Name | PATTERSON CANCER CENTER |
| Practice Address |
1001 E 2nd St Coudersport PA 16915-8161 |
| Practice Telephone | 8142745208 |
| Mailing Telephone | 8142745208 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | ED PITCHFORD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8142749300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Patterson Cancer Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932382058 | Charles Cole Memorial Hospital | Orthopaedic Surgery | 3132 Route 417, Olean, NY 14760-1835 | 2007-12-12 |
| 1275605776 | Charles Cole Memorial Hospital | Clinic/Center | 511 Academy St, Ulysses, PA 16948-9580 | 2006-11-14 |
| 1861564106 | Charles Cole Memorial Hospital | Clinic/Center | 222 Church Street, Westfield, PA 16950 | 2006-11-14 |
| 1275605750 | Charles Cole Memorial Hospital | Clinic/Center | 288 Sizerville Rd, Emporium, PA 15834-3944 | 2006-11-14 |
| 1407928757 | Charles Cole Memorial Hospital | Clinic/Center | 128 N Puritan Street, Shinglehouse, PA 16748 | 2006-11-14 |
| 1356794226 | Charles Cole Memorial Hospital | Otolaryngology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-15 |
| 1962850792 | Charles Cole Memorial Hospital | Ophthalmology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-06-02 |
| 1992172415 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1639546153 | Charles Cole Memorial Hospital | Internal Medicine | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| 1093182511 | Charles Cole Memorial Hospital | Surgery | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2015-09-01 |
| Street Address |
1001 E 2ND ST |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868736 | Kathleen M Kerr | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2005-08-16 |
| 1205498458 | Nina Lelic Miller | Dentist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-07-08 |
| 1831754308 | Garrett Michael Russell | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-05-09 |
| 1740742279 | Joshua Hoppe | Physical Therapist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2019-04-03 |
| 1396202743 | Jackie D Sprow | Nurse Practitioner | 1001 E 2nd St, Coudersport, PA 16915-8179 | 2019-02-21 |
| 1821505983 | Kristine N Ball | Advanced Practice Midwife | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2018-01-10 |
| 1245743103 | Patricia K Stegman | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2017-11-14 |
| 1033562707 | Jennifer Davis | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1497108161 | Gena Rasmussen | Dietitian, Registered | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-19 |
| 1356794226 | Charles Cole Memorial Hospital | Otolaryngology | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134396930 | Carla J Muirhead | Registered Nurse | 1001 East 2nd Street, Coudersport, PA 16915 | 2008-05-12 |
| 1396926374 | Jeremy T Reed | Otolaryngology | 1001 E 2nd St Ste C, Coudersport, PA 16915 | 2007-11-19 |
| 1437274768 | Lynn Meredith Cornish | Dentist | 303 E Maple Street, Coudersport, PA 16915 | 2007-03-19 |
| 1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
| 1568569168 | Peter C Ryan | Dentist | 438 East Second St, Coudersport, PA 16915 | 2006-09-19 |
| 1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
| 1245294875 | Victor Douglas Brown | Dentist | 6 Niles Hill Road, Coudersport, PA 16915 | 2006-04-12 |
| 1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1770958696 | Rosanne Marie Pesock | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1043685977 | Trisha Marie Bauer | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| Find all providers in zip 16915 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346460250 | Charles Cole Memorial Hospital | Internal Medicine | 1001 East Second Street, Coudersport, PA 16915 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
| Find all providers with the same taxonomy | ||||
| City | COUDERSPORT |
| Zip Code | 16915 |
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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.