Terrissa C Martin (NPI# 1548556442, PAC ID# 4880847763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1548556442 |
| PAC ID by PECOS | 4880847763 |
| Professional Enrollment ID | I20121228000070 |
| Full Name | Terrissa C Martin |
| Organization Legal Name | FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC |
| Address |
23 Central St Moravia NY 13118-3427 |
| Phone Number | 3154979066 |
| Gender | F |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2668385014 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 23 Central St, Moravia, NY 13118-3427 | 3154979066 | FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC |
| Organization Legal Name | FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina Zimmerman | Family Medicine | Family Health Network of Central New York Inc | 2805 Cincinnatus Rd, Cincinnatus, NY 13040-9685 |
| Alexander John Langley | Family Medicine | Family Health Network of Central New York Inc | 4038 W Rd, Cortland, NY 13045-1842 |
| Nicole L Villapiano | Internal Medicine | Family Health Network of Central New York Inc | 85 S W St, Homer, NY 13077-1500 |
| Reilly W Coch | Endocrinology | Family Health Network of Central New York Inc | 4038 W Rd, Cortland, NY 13045-1842 |
| Anna L Dill | Internal Medicine | Family Health Network of Central New York Inc | 4038 W Rd, Cortland, NY 13045-1842 |
| Douglas A Rahner | Family Medicine | Family Health Network of Central New York Inc | 4038 W Rd, Cortland, NY 13045-1842 |
| Nancy A. Dickerson | Clinical Social Worker | Family Health Network of Central New York Inc | 4038 W Rd, Cortland, NY 13045-1842 |
| In W Oh | Obstetrics/gynecology | Family Health Network of Central New York Inc | 4038 W Rd, Cortland, NY 13045-1842 |
| Street Address |
23 CENTRAL ST |
| City | MORAVIA |
| State | NY |
| Zip | 13118-3427 |
| City | MORAVIA |
| Zip Code | 13118 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MORAVIA + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.