William S Cooley Jr. (NPI# 1205849650, PAC ID# 6507753514) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1205849650 |
| PAC ID by PECOS | 6507753514 |
| Professional Enrollment ID | I20040304000151 |
| Full Name | William S Cooley Jr. |
| Organization Legal Name | ONEIDA OB GYN GROUP PC |
| Address |
4857 State Route 5 Vernon NY 13476-3530 |
| Phone Number | 3153639995 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1986 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7911894910 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330115 | ONEIDA HEALTHCARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4857 State Route 5, Vernon, NY 13476-3530 | 3153639995 | ONEIDA OB GYN GROUP PC |
| Organization Legal Name | ONEIDA OB GYN GROUP PC |
| Physicians | 1 |
| Street Address |
4857 STATE ROUTE 5 |
| City | VERNON |
| State | NY |
| Zip | 13476-3530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew H Siegenthaler | Family Medicine | Oneida Medical Practice PC | 3 Curtis Rd, Vernon, NY 13476-3607 |
| William B Richardson | Family Practice | Trivalley Family Practice Pllc | 3 Curtis Rd, Vernon, NY 13476-3607 |
| City | VERNON |
| Zip Code | 13476 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | VERNON + 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.