| 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 |
| 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 | (* (Not Available)) | 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 | William M Dutch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689666331 PECOS PAC ID: 9830081199 Enrollment ID: I20040407000010 |
| Provider Name | Diane M Scalise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790776268 PECOS PAC ID: 4486641875 Enrollment ID: I20040428000239 |
| Provider Name | Biswarup Syam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942299771 PECOS PAC ID: 5991783417 Enrollment ID: I20040712000416 |
| Provider Name | Thomas R Aiello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669414421 PECOS PAC ID: 5496773848 Enrollment ID: I20051104000172 |
| Provider Name | Thomas V Chmelicek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073547261 PECOS PAC ID: 4284631417 Enrollment ID: I20061101000483 |
| Provider Name | Sherif G El Bayadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730127168 PECOS PAC ID: 4789687708 Enrollment ID: I20070821000209 |
| Provider Name | Mary E Greco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194899310 PECOS PAC ID: 9234203092 Enrollment ID: I20080729000128 |
| Provider Name | Lawrence W Krieger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619951845 PECOS PAC ID: 7113001553 Enrollment ID: I20090402000449 |
| Provider Name | Kelly S Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457506693 PECOS PAC ID: 2264587567 Enrollment ID: I20090910000523 |
| Provider Name | Islam A Hassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720241664 PECOS PAC ID: 7618001033 Enrollment ID: I20100819000997 |
| Provider Name | Thomas R Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225283468 PECOS PAC ID: 9830381920 Enrollment ID: I20101007000704 |
| Provider Name | Shelby S Cooper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952365199 PECOS PAC ID: 3779526892 Enrollment ID: I20101101000758 |
| Provider Name | Harry E Capone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073575189 PECOS PAC ID: 6103907258 Enrollment ID: I20110105001260 |
| 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 | James L Pfeiff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336225150 PECOS PAC ID: 1254316011 Enrollment ID: I20120131000009 |
| Provider Name | Erin W Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851528368 PECOS PAC ID: 9335303478 Enrollment ID: I20120621000096 |
| Provider Name | Kimberly M Aichner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205068798 PECOS PAC ID: 2365698503 Enrollment ID: I20120806000622 |
| Provider Name | Vitaliy Y Ignatovskyy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881858975 PECOS PAC ID: 7214188275 Enrollment ID: I20121121000482 |
| Provider Name | Erin M Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881836658 PECOS PAC ID: 1759526106 Enrollment ID: I20130408000002 |
| Provider Name | Patricia A Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255527438 PECOS PAC ID: 6901121979 Enrollment ID: I20150216000041 |
| Provider Name | Tammy West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922488626 PECOS PAC ID: 6305153263 Enrollment ID: I20150910000576 |
| Provider Name | Ryan S Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764239 PECOS PAC ID: 5092019802 Enrollment ID: I20160215000925 |
| Provider Name | Joseph D Ayers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750570412 PECOS PAC ID: 3173811874 Enrollment ID: I20161012002714 |
| Provider Name | Ghassan Koussa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730341421 PECOS PAC ID: 0345476396 Enrollment ID: I20161109001333 |
| Provider Name | Andrew M Wight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992116404 PECOS PAC ID: 1456622299 Enrollment ID: I20170811002655 |
| 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 | Jonathan R Mizgala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968434 PECOS PAC ID: 9739459587 Enrollment ID: I20180919001139 |
| Provider Name | Uzma Abbasi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275856106 PECOS PAC ID: 3779607338 Enrollment ID: I20190625001627 |
| Provider Name | Mona L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083259 PECOS PAC ID: 2860720547 Enrollment ID: I20190819002838 |
| Provider Name | Marissa Famularo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871887117 PECOS PAC ID: 2567792328 Enrollment ID: I20190923001048 |
| Provider Name | Jocelyne A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493428 PECOS PAC ID: 5991120776 Enrollment ID: I20200811001275 |
| Provider Name | Mohammed Asad Khalid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851703938 PECOS PAC ID: 0345579470 Enrollment ID: I20200917001695 |
| Provider Name | Jenna M March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003429457 PECOS PAC ID: 1951721968 Enrollment ID: I20201013002235 |
| Provider Name | Carey Marrello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275150898 PECOS PAC ID: 7214348580 Enrollment ID: I20201118001872 |
| Provider Name | Jessica Jean Khalid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417454349 PECOS PAC ID: 5496019739 Enrollment ID: I20210813000802 |
| Provider Name | Melissa Cignarale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669824181 PECOS PAC ID: 8820385735 Enrollment ID: I20221018002597 |
| Provider Name | Kayla M Ackerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124525662 PECOS PAC ID: 4183960255 Enrollment ID: I20230824000746 |
| Provider Name | Tammy Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043082134 PECOS PAC ID: 4789035262 Enrollment ID: I20240109002899 |
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 | |
Ratnakumar S.j. Newton, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 578 Seneca St, Oneida, NY 13421 Phone: 315-363-6502 |