| Carthage Area Hospital Inc | |
|
1001 West St Carthage NY 13619 | |
| (315) 493-1000 | |
| (315) 493-0105 |
| Full Name | Carthage Area Hospital Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1001 West St, Carthage, New York |
| Authorized Official Name and Position | Richard Duvall (CEO ADMINSTRATOR) |
| Authorized Official Contact | 3155195201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carthage Area Hospital Inc 1001 West St Carthage NY 13619 Ph: (315) 519-5724 | Carthage Area Hospital Inc 1001 West St Carthage NY 13619 Ph: (315) 493-1000 |
| NPI Number | 1053497388 |
|---|---|
| Provider Enumeration Date | 10/30/2006 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Medicare PECOS PAC ID | 9931010485 |
|---|---|
| Medicare Enrollment ID | O20040209000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053497388 | NPI | - | NPPES |
| 03000635 | Medicaid | NY | |
| 00310852 | Medicaid | NY |
| Provider Name | Walter Dodard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699720516 PECOS PAC ID: 9133020969 Enrollment ID: I20040115000806 |
| Provider Name | James W Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093714644 PECOS PAC ID: 0244135606 Enrollment ID: I20040419000737 |
| Provider Name | Bruce L Baird |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609859966 PECOS PAC ID: 9436144300 Enrollment ID: I20040419001496 |
| Provider Name | Carmen J Ellie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922042225 PECOS PAC ID: 7618964040 Enrollment ID: I20040428000604 |
| Provider Name | Ali Gharagozloo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437142239 PECOS PAC ID: 5991796179 Enrollment ID: I20040518001529 |
| Provider Name | Scott C Buckingham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104826312 PECOS PAC ID: 9436130382 Enrollment ID: I20040526000984 |
| Provider Name | Rebecca Tan Alberto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013972777 PECOS PAC ID: 9234127101 Enrollment ID: I20040708001246 |
| Provider Name | Gary R Wakeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891776696 PECOS PAC ID: 4880677897 Enrollment ID: I20040715000568 |
| Provider Name | Lingappa Amernath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962405001 PECOS PAC ID: 8921087321 Enrollment ID: I20040719000890 |
| Provider Name | William Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952309411 PECOS PAC ID: 0840260808 Enrollment ID: I20040728000050 |
| Provider Name | Abdul M Elfar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649250366 PECOS PAC ID: 9335115591 Enrollment ID: I20040908001435 |
| Provider Name | Karen Nevills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841285731 PECOS PAC ID: 9739158700 Enrollment ID: I20040927000820 |
| Provider Name | Victoria Chanliecco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518996776 PECOS PAC ID: 5597733683 Enrollment ID: I20041206000227 |
| Provider Name | Felix T Oben |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225179575 PECOS PAC ID: 0941250401 Enrollment ID: I20050126000337 |
| Provider Name | Alka Srivastava |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780782185 PECOS PAC ID: 8820041429 Enrollment ID: I20050223000577 |
| Provider Name | Jonathan I Golberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770522872 PECOS PAC ID: 1456347335 Enrollment ID: I20050324000280 |
| Provider Name | Pierre B Eugene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114913407 PECOS PAC ID: 5193762367 Enrollment ID: I20050411000349 |
| Provider Name | Riccardo Turrin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477590628 PECOS PAC ID: 9335182518 Enrollment ID: I20050608000740 |
| Provider Name | Vinod K Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437184173 PECOS PAC ID: 5597792598 Enrollment ID: I20050721000312 |
| Provider Name | David H Antecol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992783344 PECOS PAC ID: 9739104506 Enrollment ID: I20051116000394 |
| Provider Name | Adam D Jarrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952337859 PECOS PAC ID: 5991791600 Enrollment ID: I20051206000682 |
| Provider Name | Lydia L Kirschman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467400010 PECOS PAC ID: 2163426842 Enrollment ID: I20060912000227 |
| Provider Name | Robert Digiacco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437138336 PECOS PAC ID: 8224097431 Enrollment ID: I20070307000070 |
| Provider Name | Kenneth I Brydges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568532042 PECOS PAC ID: 3072610245 Enrollment ID: I20070523000115 |
| Provider Name | Marta M Anghel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891855730 PECOS PAC ID: 0345348520 Enrollment ID: I20070612000462 |
| Provider Name | Antenor Vilceus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760549075 PECOS PAC ID: 8729179916 Enrollment ID: I20070801000774 |
| Provider Name | Manuel C Palao |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275603698 PECOS PAC ID: 0749371771 Enrollment ID: I20070806000682 |
| Provider Name | Edwin N Urf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790984979 PECOS PAC ID: 4284725896 Enrollment ID: I20070811000089 |
| Provider Name | Kenneth M Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316950942 PECOS PAC ID: 5395838338 Enrollment ID: I20070906000532 |
| Provider Name | Michael E Gordon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033323993 PECOS PAC ID: 1951495308 Enrollment ID: I20070917000421 |
| Provider Name | Norma L Cooney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699737429 PECOS PAC ID: 2163460700 Enrollment ID: I20070920000565 |
| Provider Name | Manasvi Jaitly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205036878 PECOS PAC ID: 9931297751 Enrollment ID: I20071113000093 |
| Provider Name | Jeffrey S Aronowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558408385 PECOS PAC ID: 9032298013 Enrollment ID: I20080501000462 |
| Provider Name | Howard H Huang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528041878 PECOS PAC ID: 5294814851 Enrollment ID: I20080507000351 |
| Provider Name | Sandeep G Sirsi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336138213 PECOS PAC ID: 3476622390 Enrollment ID: I20080519000570 |
| Provider Name | Lewis Clark Zulick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114987989 PECOS PAC ID: 9638248446 Enrollment ID: I20080520000565 |
| Provider Name | Mary B Derosa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164447686 PECOS PAC ID: 8325089881 Enrollment ID: I20080923000472 |
| Provider Name | Shannon L Zinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578729448 PECOS PAC ID: 1355400268 Enrollment ID: I20081107000008 |
| Provider Name | Dean J Hanna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558516591 PECOS PAC ID: 3870659501 Enrollment ID: I20090305000004 |
| Provider Name | Gaston F Dacosta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982788394 PECOS PAC ID: 6406905579 Enrollment ID: I20090520000061 |
| Provider Name | Michael Seidman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134188725 PECOS PAC ID: 2860300944 Enrollment ID: I20090723000683 |
| Provider Name | Tatiana Dicoby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114164696 PECOS PAC ID: 0941348122 Enrollment ID: I20091109000295 |
| Provider Name | Kelly L Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861420010 PECOS PAC ID: 5496894933 Enrollment ID: I20091123000454 |
| Provider Name | Lucille L Alston |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194760959 PECOS PAC ID: 9537209127 Enrollment ID: I20091211000335 |
| Provider Name | Thomas H Herzog |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760435952 PECOS PAC ID: 4183648439 Enrollment ID: I20100322000853 |
| Provider Name | Kingsley L Malcolm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144550799 PECOS PAC ID: 1052446556 Enrollment ID: I20100323000650 |
| Provider Name | D Peter Vaneenenaam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316920481 PECOS PAC ID: 3577699438 Enrollment ID: I20100330000758 |
| Provider Name | Claudia Fish |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043293665 PECOS PAC ID: 2668508169 Enrollment ID: I20100408000358 |
| Provider Name | Hardik I Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326251604 PECOS PAC ID: 9234266958 Enrollment ID: I20100428000482 |
| Provider Name | Carly Draper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619290095 PECOS PAC ID: 4981738333 Enrollment ID: I20100820000157 |
| Provider Name | Marlene G El-hajal Mouaikel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417089228 PECOS PAC ID: 5698891646 Enrollment ID: I20100927001276 |
| Provider Name | Nata Z Parnes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366638728 PECOS PAC ID: 8022204940 Enrollment ID: I20101118000080 |
| Provider Name | Jack Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598805483 PECOS PAC ID: 6002709672 Enrollment ID: I20101213000051 |
| Provider Name | David F Rosner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932175445 PECOS PAC ID: 4880876861 Enrollment ID: I20110311000704 |
| Provider Name | Mirza M Ashraf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205885514 PECOS PAC ID: 3870404163 Enrollment ID: I20110328000125 |
| Provider Name | Cheryl Tousant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881927556 PECOS PAC ID: 0840473906 Enrollment ID: I20110328000146 |
| Provider Name | Debra J Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174530810 PECOS PAC ID: 5496878654 Enrollment ID: I20110428000561 |
| Provider Name | Christine Clara Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932495876 PECOS PAC ID: 6608044722 Enrollment ID: I20110715000486 |
| Provider Name | Lawrence S Chin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023043114 PECOS PAC ID: 0749389526 Enrollment ID: I20110804000134 |
| Provider Name | Doris Jean Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174810279 PECOS PAC ID: 1153595889 Enrollment ID: I20111115000719 |
| Provider Name | Orakwao D Dowuona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366728594 PECOS PAC ID: 4981855293 Enrollment ID: I20121114000667 |
| Provider Name | Jeff D Perrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245675495 PECOS PAC ID: 7911147988 Enrollment ID: I20130716000329 |
| Provider Name | Benjamin R Hodson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003136235 PECOS PAC ID: 8426290396 Enrollment ID: I20130806000819 |
| Provider Name | Aaron B Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972814481 PECOS PAC ID: 8224272380 Enrollment ID: I20130912000012 |
| Provider Name | Dawn L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699759100 PECOS PAC ID: 0749404002 Enrollment ID: I20140630001401 |
| Provider Name | Jennifer D Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699181974 PECOS PAC ID: 1658591284 Enrollment ID: I20141002002575 |
| Provider Name | Emmanuel Uzoma Nwogu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275975880 PECOS PAC ID: 6800114232 Enrollment ID: I20150416000176 |
| Provider Name | Matthew J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306251400 PECOS PAC ID: 9739408865 Enrollment ID: I20150512000816 |
| Provider Name | Jie He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730445040 PECOS PAC ID: 0749592293 Enrollment ID: I20150713000064 |
| Provider Name | Star A Bumbanac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212289 PECOS PAC ID: 3173830510 Enrollment ID: I20150916002568 |
| Provider Name | Jessica M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194107789 PECOS PAC ID: 7012212145 Enrollment ID: I20160226000993 |
| Provider Name | Bhupendra Modi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871536953 PECOS PAC ID: 8325019607 Enrollment ID: I20160425001776 |
| Provider Name | John Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295710358 PECOS PAC ID: 2163317405 Enrollment ID: I20160623001985 |
| Provider Name | Yu Sung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205270006 PECOS PAC ID: 5799908760 Enrollment ID: I20160802002519 |
| Provider Name | Stanley D Cadet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457717001 PECOS PAC ID: 0941594642 Enrollment ID: I20160803001050 |
| Provider Name | Daniel Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881044295 PECOS PAC ID: 4880598762 Enrollment ID: I20160916000341 |
| Provider Name | Tharon Holmberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871741785 PECOS PAC ID: 0749357341 Enrollment ID: I20161010000866 |
| Provider Name | Rosamond Reffell-pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891087771 PECOS PAC ID: 7618256421 Enrollment ID: I20161118001933 |
| Provider Name | Steven A Mussett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376081240 PECOS PAC ID: 9739463183 Enrollment ID: I20170302000579 |
| Provider Name | Bartlomiej Wojciech Szczech |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417242348 PECOS PAC ID: 3476825829 Enrollment ID: I20170818001783 |
| Provider Name | Kenneth C Hilborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144741158 PECOS PAC ID: 1355614132 Enrollment ID: I20170829003770 |
| Provider Name | Angela E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588189914 PECOS PAC ID: 2567736374 Enrollment ID: I20170918001884 |
| Provider Name | Brandon Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629336615 PECOS PAC ID: 7810273505 Enrollment ID: I20171002000345 |
| Provider Name | William Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467496844 PECOS PAC ID: 9537073002 Enrollment ID: I20171016001171 |
| Provider Name | Shivangi A Chudasama-modi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548782931 PECOS PAC ID: 4183981574 Enrollment ID: I20171120000717 |
| Provider Name | Chelsea M Ashcroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386175016 PECOS PAC ID: 1759643380 Enrollment ID: I20180320001275 |
| Provider Name | Andrea L Cole |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659871341 PECOS PAC ID: 3072876721 Enrollment ID: I20180411002500 |
| Provider Name | Matthew D Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942643242 PECOS PAC ID: 1355577115 Enrollment ID: I20180425000490 |
| Provider Name | Ancy F Kunnumpurath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629396502 PECOS PAC ID: 5597029124 Enrollment ID: I20180508001613 |
| Provider Name | Lindsey G Mclear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366935298 PECOS PAC ID: 7012267297 Enrollment ID: I20180910001338 |
| Provider Name | Ahmer Ishtiaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508205535 PECOS PAC ID: 4385924216 Enrollment ID: I20190104000974 |
| Provider Name | Chris Anne Jewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518422567 PECOS PAC ID: 4082953153 Enrollment ID: I20190307001025 |
| Provider Name | Matthew Bonner Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063846525 PECOS PAC ID: 0749502391 Enrollment ID: I20190401000205 |
| Provider Name | Brian Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487118840 PECOS PAC ID: 5496096984 Enrollment ID: I20190410001454 |
| Provider Name | Joseph Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164984753 PECOS PAC ID: 8224371877 Enrollment ID: I20190522001220 |
| Provider Name | Kenneth Alcorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346621240 PECOS PAC ID: 6204169667 Enrollment ID: I20190618000600 |
| Provider Name | Mohamed Ali Al Saied |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033598008 PECOS PAC ID: 4385956663 Enrollment ID: I20190626001211 |
| Provider Name | Jillian Young Marra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326607490 PECOS PAC ID: 7911234596 Enrollment ID: I20190805002109 |
| Provider Name | Francis Y Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932169083 PECOS PAC ID: 0042281594 Enrollment ID: I20200221001370 |
| Provider Name | Kristen Bridges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649565748 PECOS PAC ID: 6305181181 Enrollment ID: I20200522001465 |
| Provider Name | Tasha Olivia Thomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407495682 PECOS PAC ID: 0042631798 Enrollment ID: I20200604000816 |
| Provider Name | Jason R Forni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447570528 PECOS PAC ID: 1658548631 Enrollment ID: I20200604001469 |
| Provider Name | Kimona Issa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982019998 PECOS PAC ID: 4082942040 Enrollment ID: I20200729003914 |
| Provider Name | Alana Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255940037 PECOS PAC ID: 6800214891 Enrollment ID: I20200908000953 |
| Provider Name | Chris Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760786073 PECOS PAC ID: 8729407614 Enrollment ID: I20200925001344 |
| Provider Name | Lucille D'agostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477170702 PECOS PAC ID: 2163593997 Enrollment ID: I20210218000288 |
| Provider Name | Prabhjot S Thind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891215448 PECOS PAC ID: 5799190914 Enrollment ID: I20210222002315 |
| Provider Name | Julie Kraeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639664477 PECOS PAC ID: 5991053050 Enrollment ID: I20210326001796 |
| Provider Name | Bridget J Quinn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538752878 PECOS PAC ID: 7810304144 Enrollment ID: I20210401001147 |
| Provider Name | Alexandra Laclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891377438 PECOS PAC ID: 3678972718 Enrollment ID: I20210524000310 |
| Provider Name | Tracy M Tousant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316409808 PECOS PAC ID: 2668872219 Enrollment ID: I20210618000044 |
| Provider Name | Andrea Arquiett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639744527 PECOS PAC ID: 6800298001 Enrollment ID: I20210712000132 |
| Provider Name | Brandi A Wilsie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851940274 PECOS PAC ID: 5294135539 Enrollment ID: I20210713002115 |
| Provider Name | Kaitlyn Marie Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538648605 PECOS PAC ID: 4082017553 Enrollment ID: I20210721000813 |
| Provider Name | Weston Goring |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689027674 PECOS PAC ID: 5193129617 Enrollment ID: I20210805002234 |
| Provider Name | Daniel Kyung |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629485842 PECOS PAC ID: 1254600521 Enrollment ID: I20210811000821 |
| Provider Name | Steven B Doyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134581846 PECOS PAC ID: 2567760051 Enrollment ID: I20210811002115 |
| Provider Name | Rebecca Mildred Matteson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760059067 PECOS PAC ID: 3072918580 Enrollment ID: I20210823000170 |
| Provider Name | Alva Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124010608 PECOS PAC ID: 1355445297 Enrollment ID: I20210928002463 |
| Provider Name | Rachel E Strosnider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770115149 PECOS PAC ID: 4880092527 Enrollment ID: I20211009000055 |
| Provider Name | Rebecca M Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801315833 PECOS PAC ID: 4183013931 Enrollment ID: I20211116002187 |
| Provider Name | Debbie Opoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720622046 PECOS PAC ID: 4486045937 Enrollment ID: I20211217000537 |
| Provider Name | Lisa M Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568039386 PECOS PAC ID: 2567865967 Enrollment ID: I20220104001333 |
| Provider Name | Joseph C Gianfagna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710207485 PECOS PAC ID: 2769874957 Enrollment ID: I20220120001185 |
| Provider Name | Amber E Modafferi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558021121 PECOS PAC ID: 0446643746 Enrollment ID: I20220209001938 |
| Provider Name | Grace I Komolafe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053790816 PECOS PAC ID: 6800140450 Enrollment ID: I20220218000202 |
| Provider Name | Melissa Beagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518486281 PECOS PAC ID: 4486049285 Enrollment ID: I20220314001714 |
| Provider Name | David Boyce |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265961908 PECOS PAC ID: 6608256664 Enrollment ID: I20220707003543 |
| Provider Name | Yulian Yestin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861758641 PECOS PAC ID: 0547407546 Enrollment ID: I20220901002787 |
| Provider Name | Gwendolyn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447324272 PECOS PAC ID: 7113811738 Enrollment ID: I20221021000287 |
| Provider Name | Jose A Rios |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700458866 PECOS PAC ID: 8123406113 Enrollment ID: I20221117001261 |
| Provider Name | Nicole Marie Topits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346958089 PECOS PAC ID: 7517337025 Enrollment ID: I20221227002317 |
| Provider Name | Michael Betler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407158108 PECOS PAC ID: 4688808678 Enrollment ID: I20230117001552 |
| Provider Name | Laure Manack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699218636 PECOS PAC ID: 0648552182 Enrollment ID: I20230227002205 |
| Provider Name | Joante A Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659904183 PECOS PAC ID: 8729499132 Enrollment ID: I20230302000201 |
| Provider Name | Jared W Hornberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851785422 PECOS PAC ID: 9830462449 Enrollment ID: I20230328001314 |
| Provider Name | Mark Aidan Kelley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851303978 PECOS PAC ID: 3173512423 Enrollment ID: I20230412000887 |
| Provider Name | Michael J Magee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689669806 PECOS PAC ID: 9335039973 Enrollment ID: I20230501000321 |
| Provider Name | Louis Reines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225236151 PECOS PAC ID: 4385816131 Enrollment ID: I20230809002971 |
| Provider Name | Carl D Lemond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619406717 PECOS PAC ID: 6305105966 Enrollment ID: I20230928000702 |
| Provider Name | Farid A Hakim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013002849 PECOS PAC ID: 2163594185 Enrollment ID: I20240212001575 |
| Provider Name | Lisa M Sanches |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114008802 PECOS PAC ID: 2163575432 Enrollment ID: I20240222000749 |
| Provider Name | Kristen J Bloom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609177336 PECOS PAC ID: 9032558499 Enrollment ID: I20240417003796 |
| Provider Name | Thea K Bohannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174907828 PECOS PAC ID: 4981044997 Enrollment ID: I20240424001960 |
| Provider Name | Karen E Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508464363 PECOS PAC ID: 0244648434 Enrollment ID: I20240509001684 |
| Provider Name | Ryann E Maier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013777523 PECOS PAC ID: 6103267943 Enrollment ID: I20240510003220 |
| Provider Name | Timi Akins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023099561 PECOS PAC ID: 1658398003 Enrollment ID: I20240607002998 |
| Provider Name | Ahmad S Rana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871539197 PECOS PAC ID: 4082688726 Enrollment ID: I20240611004589 |
| Provider Name | Kaileigh M Bonno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629813829 PECOS PAC ID: 6507304664 Enrollment ID: I20240820003402 |
| Provider Name | Meagan T Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497588990 PECOS PAC ID: 8729519582 Enrollment ID: I20241003001753 |
| Provider Name | Rachelle Rigaud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730648619 PECOS PAC ID: 1254661093 Enrollment ID: I20241120002404 |
| Provider Name | Brendan Burke Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942228127 PECOS PAC ID: 8820001373 Enrollment ID: I20241203003403 |
| Provider Name | Ornogeah Wurah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134743149 PECOS PAC ID: 9032533286 Enrollment ID: I20241209002392 |
| Provider Name | Rebekah J Tisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295566388 PECOS PAC ID: 9335679265 Enrollment ID: I20250207001305 |
| Provider Name | Rebecca L Toomey-keck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679842066 PECOS PAC ID: 1951825678 Enrollment ID: I20250403002066 |
| Provider Name | Katelyn M Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083429401 PECOS PAC ID: 0345768487 Enrollment ID: I20250513002151 |
Stephanie Yancey, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10764 Limburg Forks Rd, Carthage, NY 13619 Phone: 714-336-3246 | |
Kenneth C Price Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 32133 Nys Route 3, Carthage, NY 13619 Phone: 315-405-7773 | |
Tri-county Tbi Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 State St, Carthage, NY 13619 Phone: 315-519-1221 Fax: 315-519-1204 | |
Carthage Area Hospital Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-0105 | |
Exceptional Kidz Rehabilitation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Physical Therapy Suite, Carthage, NY 13619 Phone: 215-613-6523 |