Active NPI
Arrowhead Emergency Physicians
- Emergency Medicine Physician
- Ithaca, NY
National Provider Identifier
1063465698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ARROWHEAD EMERGENCY PHYSICIANS
- Practice address
- 101 Dates Dr
Ithaca, NY 14850-1342 - Phone
- (607) 274-4411
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Byrne, MD
- Title
- President
- Phone
- (800) 247-8060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
101 Dates Dr
Ithaca, NY 14850-1342
Mailing address
232 Lakeside Dr
Horsham, PA 19044-2319
Phone (800) 247-8060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01662757 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1063465698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 LAKESIDE DR",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442319",
"telephone_number": "800-247-8060",
"fax_number": "215-975-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-274-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BYRNE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "18002478060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01662757",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.