| Lewis County General Hospital | |
| 
					9559 Main Street Beaver Falls NY 13305  | |
| (315) 346-6824 | |
| (315) 346-6868 | 
| Full Name | Lewis County General Hospital | 
|---|---|
| Speciality | Family Medicine | 
| Location | 9559 Main Street, Beaver Falls, New York | 
| Authorized Official Name and Position | Michele Prince (COO) | 
| Authorized Official Contact | 3153765226 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lewis County General Hospital Po Box 2337 Syracuse NY 13220-2337 Ph: (315) 701-5610  | Lewis County General Hospital 9559 Main Street Beaver Falls NY 13305 Ph: (315) 346-6824  | 
| NPI Number | 1790857308 | 
|---|---|
| Provider Enumeration Date | 11/15/2006 | 
| Last Update Date | 09/20/2019 | 
| Medicare PECOS PAC ID | 2668463779 | 
|---|---|
| Medicare Enrollment ID | O20040901000113 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790857308 | NPI | - | NPPES | 
| 02848213 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | John M Wat | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1841223096 PECOS PAC ID: 2264428325 Enrollment ID: I20040423000055  | 
| Provider Name | Roger Brian Shambo | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1649251489 PECOS PAC ID: 5991796542 Enrollment ID: I20040521000419  | 
| Provider Name | Robert D Semlear | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1629163423 PECOS PAC ID: 8224076880 Enrollment ID: I20050422001119  | 
| Provider Name | Martha L Pisaniello | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1043218951 PECOS PAC ID: 2567408487 Enrollment ID: I20050630000867  | 
| Provider Name | Shirley A Tuttle-malone | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1457441834 PECOS PAC ID: 0648305797 Enrollment ID: I20100316000087  | 
| Provider Name | Monica J Kwicklis | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1154395408 PECOS PAC ID: 8628106135 Enrollment ID: I20100504000377  | 
| Provider Name | Francis Adam Seigers | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1225229727 PECOS PAC ID: 9133309842 Enrollment ID: I20110214000329  | 
| Provider Name | Kathy H Der | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245541325 PECOS PAC ID: 2466679691 Enrollment ID: I20140813000080  | 
| Provider Name | John R Leuenberger | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1366736902 PECOS PAC ID: 2860622099 Enrollment ID: I20150807013486  | 
| Provider Name | Alison Lynn Kiser | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1144716838 PECOS PAC ID: 6204189863 Enrollment ID: I20181029001185  | 
| Provider Name | Julie Kraeger | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639664477 PECOS PAC ID: 5991053050 Enrollment ID: I20210326001796  | 
| Provider Name | Stacey Walton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1457013401 PECOS PAC ID: 0446640924 Enrollment ID: I20211126000000  | 
| Provider Name | Julia Waters | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962140368 PECOS PAC ID: 2264815372 Enrollment ID: I20220822002080  | 
| Provider Name | Nicole Marie Topits | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1346958089 PECOS PAC ID: 7517337025 Enrollment ID: I20221227002317  | 
| Provider Name | Keith Bates | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255031050 PECOS PAC ID: 1658736723 Enrollment ID: I20230424002592  | 
| Provider Name | Amy Phair | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891211488 PECOS PAC ID: 7416311303 Enrollment ID: I20230911003462  | 
| Provider Name | Laci Reilly | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215530522 PECOS PAC ID: 0446647515 Enrollment ID: I20231016002783  | 
| Provider Name | Joshua Harold Purcell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1922848613 PECOS PAC ID: 2163966854 Enrollment ID: I20240705001912  | 
| Provider Name | Garth P Sanford | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1851148118 PECOS PAC ID: 8022559616 Enrollment ID: I20240923003435  | 
Lewis County General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9559 Main Street, Beaver Falls, NY 13305 Phone: 315-346-6824 Fax: 315-346-6868  |