Organization Active NPI

Spencer P. Annabel M.D., PC

  • Internal Medicine Physician
  • Hornell, NY
National Provider Identifier
1225003767
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
120290-1 Issued in NY
Legal business name
SPENCER P. ANNABEL M.D., PC
Practice address
9 Crosby St
Hornell, NY 14843-1709
Phone
(607) 324-1874
Fax
(607) 324-1140
NPI assigned
Feb 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Spencer P Annabel, MD
Title
MD
Phone
(607) 324-1874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 120290-1 NY Primary

Addresses

Primary practice location

9 Crosby St
Hornell, NY 14843-1709

Mailing address

111 E 14TH St
Elmira Heights, NY 14903-1303
Phone (607) 734-9539

National Provider Directory

National Provider Directory

Locations

9 Crosby St
Hornell, NY 14843
Phone (607) 324-1874

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1225003767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CROSBY ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431709",
            "telephone_number": "607-324-1874",
            "fax_number": "607-324-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER P. ANNABEL M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "ANNABEL",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "607-324-1874",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "120290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.