| Oneida Medical Practice, PC | |
|
221 Broad St Oneida NY 13421-2178 | |
| (315) 363-5421 | |
| (315) 363-5472 |
| Full Name | Oneida Medical Practice, PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 Broad St, Oneida, New York |
| Authorized Official Name and Position | Harry Capone (PRESIDENTMEDICAL DIRECTOR) |
| Authorized Official Contact | 3156972033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oneida Medical Practice, PC 321 Genesee St Attn: Practice Management Oneida NY 13421-2611 Ph: (315) 361-2913 | Oneida Medical Practice, PC 221 Broad St Oneida NY 13421-2178 Ph: (315) 363-5421 |
| NPI Number | 1932398997 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 9830272350 |
|---|---|
| Medicare Enrollment ID | O20080207000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932398997 | NPI | - | NPPES |
| 03357884 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Ellen T Goodwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376552422 PECOS PAC ID: 2769376888 Enrollment ID: I20040210000918 |
| Provider Name | Kristen a Mcneil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639270481 PECOS PAC ID: 8729070149 Enrollment ID: I20040402000900 |
| Provider Name | William M Dutch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689666331 PECOS PAC ID: 9830081199 Enrollment ID: I20040407000010 |
| Provider Name | Karole M Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669542635 PECOS PAC ID: 3375504814 Enrollment ID: I20041019000893 |
| Provider Name | Henry M Klotz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134283104 PECOS PAC ID: 2466403530 Enrollment ID: I20050207000083 |
| Provider Name | Christopher P Lott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457310948 PECOS PAC ID: 7517987944 Enrollment ID: I20051130000792 |
| Provider Name | Timothy P Mihm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659301729 PECOS PAC ID: 7214018365 Enrollment ID: I20080115000710 |
| Provider Name | Tracy F Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326062308 PECOS PAC ID: 2264596527 Enrollment ID: I20090130000548 |
| Provider Name | Lawrence W Krieger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619951845 PECOS PAC ID: 7113001553 Enrollment ID: I20090402000449 |
| Provider Name | M S Angleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447280508 PECOS PAC ID: 9739236092 Enrollment ID: I20090402000644 |
| Provider Name | Kelly S Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457506693 PECOS PAC ID: 2264587567 Enrollment ID: I20090910000523 |
| Provider Name | Jillian M Ives |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205169372 PECOS PAC ID: 8628117793 Enrollment ID: I20091202000561 |
| Provider Name | Islam a Hassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720241664 PECOS PAC ID: 7618001033 Enrollment ID: I20100819000997 |
| Provider Name | Michael G Zahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437118247 PECOS PAC ID: 9739169483 Enrollment ID: I20101007000490 |
| Provider Name | Thomas R Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225283468 PECOS PAC ID: 9830381920 Enrollment ID: I20101007000704 |
| Provider Name | Harry E Capone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073575189 PECOS PAC ID: 6103907258 Enrollment ID: I20110105001260 |
| Provider Name | Renee E Frawley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508175258 PECOS PAC ID: 7719176528 Enrollment ID: I20110110000784 |
| Provider Name | Deborah L Meester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342226 PECOS PAC ID: 3375624422 Enrollment ID: I20110112000001 |
| Provider Name | Jeffrey M Mulholland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326000431 PECOS PAC ID: 8022199173 Enrollment ID: I20110112000439 |
| Provider Name | Elizabeth M Checola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326334590 PECOS PAC ID: 2163692732 Enrollment ID: I20110909002593 |
| Provider Name | Erin W Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851528368 PECOS PAC ID: 9335303478 Enrollment ID: I20120621000096 |
| Provider Name | Ankur Chawla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194924647 PECOS PAC ID: 9133377625 Enrollment ID: I20120906000634 |
| Provider Name | Erin M Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881836658 PECOS PAC ID: 1759526106 Enrollment ID: I20130408000002 |
| Provider Name | Brittany L Houseman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992144232 PECOS PAC ID: 0840426763 Enrollment ID: I20131126000136 |
| Provider Name | Kinkee Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396848388 PECOS PAC ID: 0244235661 Enrollment ID: I20140702001083 |
| Provider Name | Kristin M Suchowiecki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346677515 PECOS PAC ID: 4789811837 Enrollment ID: I20140709000943 |
| Provider Name | Tammy West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922488626 PECOS PAC ID: 6305153263 Enrollment ID: I20150910000576 |
| Provider Name | Amie L Lucia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952539967 PECOS PAC ID: 4688982648 Enrollment ID: I20150924003013 |
| Provider Name | Ryan S Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764239 PECOS PAC ID: 5092019802 Enrollment ID: I20160215000925 |
| Provider Name | Meghan a Mohran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568876720 PECOS PAC ID: 0042438012 Enrollment ID: I20161011002316 |
| Provider Name | Ghassan Koussa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730341421 PECOS PAC ID: 0345476396 Enrollment ID: I20161109001333 |
| Provider Name | Kirby P Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457771867 PECOS PAC ID: 9436446606 Enrollment ID: I20170329001259 |
| Provider Name | Andrew M Wight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992116404 PECOS PAC ID: 1456622299 Enrollment ID: I20170811002655 |
| Provider Name | Adam P Fenton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497277537 PECOS PAC ID: 9830463454 Enrollment ID: I20170920003885 |
| Provider Name | Kevin J Crable |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891109278 PECOS PAC ID: 7214294123 Enrollment ID: I20171201000613 |
| Provider Name | Joseph W Spinale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215931035 PECOS PAC ID: 8426135088 Enrollment ID: I20180328000373 |
| Provider Name | Michael D Siegenthaler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639550460 PECOS PAC ID: 6305195231 Enrollment ID: I20180824002870 |
| Provider Name | Matthew H Siegenthaler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376924100 PECOS PAC ID: 7315296266 Enrollment ID: I20180827000239 |
| Provider Name | Uzma Abbasi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275856106 PECOS PAC ID: 3779607338 Enrollment ID: I20190625001627 |
| Provider Name | Anthony C Feghali |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134486509 PECOS PAC ID: 8325288616 Enrollment ID: I20190722001716 |
| Provider Name | Mona L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083259 PECOS PAC ID: 2860720547 Enrollment ID: I20190819002838 |
| Provider Name | Jessica L Decourcey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609431006 PECOS PAC ID: 4486080447 Enrollment ID: I20200211000952 |
| Provider Name | Jocelyne a King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493428 PECOS PAC ID: 5991120776 Enrollment ID: I20200811001275 |
| Provider Name | Jenna M March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003429457 PECOS PAC ID: 1951721968 Enrollment ID: I20201013002235 |
| Provider Name | Peter Daniel Fleming |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801553656 PECOS PAC ID: 5799176731 Enrollment ID: I20211229001345 |
| Provider Name | Jill Francis Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285389742 PECOS PAC ID: 1951795277 Enrollment ID: I20220303000385 |
| Provider Name | Melissa Cignarale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669824181 PECOS PAC ID: 8820385735 Enrollment ID: I20221018002597 |
| Provider Name | Melissa Marie Kobito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912690793 PECOS PAC ID: 7810356144 Enrollment ID: I20230705003160 |
| Provider Name | Christina Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013693464 PECOS PAC ID: 0840650859 Enrollment ID: I20230721000620 |
| Provider Name | Kayla M Ackerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124525662 PECOS PAC ID: 4183960255 Enrollment ID: I20230824000746 |
| Provider Name | Chelsea M Sayles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538600655 PECOS PAC ID: 7113380601 Enrollment ID: I20230831000730 |
| Provider Name | Tammy Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043082134 PECOS PAC ID: 4789035262 Enrollment ID: I20240109002899 |
| Provider Name | Elizabeth Magowan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467987057 PECOS PAC ID: 8325384159 Enrollment ID: I20240815000018 |
| Provider Name | Gary a Mana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144885682 PECOS PAC ID: 2062944044 Enrollment ID: I20241015003497 |
| Provider Name | Kailee a Catalano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093552044 PECOS PAC ID: 0244769545 Enrollment ID: I20250131001539 |
| Provider Name | Jordyn N Washington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477251478 PECOS PAC ID: 7012437262 Enrollment ID: I20250219000788 |
| Provider Name | Lenee M Plauche |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891226726 PECOS PAC ID: 7416216700 Enrollment ID: I20250807002751 |
| Provider Name | Sarah a Jacopino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770470056 PECOS PAC ID: 0446755417 Enrollment ID: I20250923001478 |
| Provider Name | Panya N Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134919400 PECOS PAC ID: 1052816105 Enrollment ID: I20250929000245 |
| Provider Name | Deborah Staple |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942404025 PECOS PAC ID: 1456857093 Enrollment ID: I20251002000090 |
| Provider Name | Rezkallah Toro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285737965 PECOS PAC ID: 9335646124 Enrollment ID: I20251008001400 |
| Provider Name | Kapriel Danadian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013010867 PECOS PAC ID: 9335636349 Enrollment ID: I20251014002304 |
| Provider Name | Jody M Scoones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558581983 PECOS PAC ID: 0143716001 Enrollment ID: I20251230001846 |
| Provider Name | Kylie L Cleary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497513782 PECOS PAC ID: 9638655889 Enrollment ID: I20260108000285 |
| Provider Name | Emma a Schmid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083473276 PECOS PAC ID: 1153897020 Enrollment ID: I20260417001467 |
Carmine R. Mastrolia, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Broad St, Oneida, NY 13421 Phone: 315-363-9214 Fax: 315-361-4968 |
Oneida Medical Associates PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Seneca St, Oneida, NY 13421 Phone: 315-363-1345 Fax: 315-363-9243 |
The Arc Madison Cortland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Main St, Oneida, NY 13421 Phone: 315-363-9281 Fax: 315-363-9286 |
Madison County Mental Health Department-cedar House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Cedar St, Oneida, NY 13421 Phone: 315-361-8413 Fax: 315-361-8450 |
Bassett Oneida Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2037 Dream Catcher Plz, Oneida, NY 13421 Phone: 607-547-3968 |
Oneida Indian Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2057 Dream Catcher Plz, Oneida, NY 13421 Phone: 315-829-8700 Fax: 315-829-8730 |