Hornell Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116454 Issued in NY

Legal business name

HORNELL MEDICAL GROUP PC

Practice address

7630 Seneca Rd N
Hornell, NY 14843-9685

Phone

(607) 324-2353

NPI assigned

Sep 24, 2010

Last updated

Sep 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Grillo

Title

Medical Staff Coordinator

Phone

(607) 324-8700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• M Tariq Randhawa, M.D.

  • Internal Medicine Physician
  • Hornell, NY
  • NPI 1164476743
  NPD (past)

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1225346224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 SENECA RD N",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439685",
            "telephone_number": "607-324-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 SENECA RD N",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439685",
            "telephone_number": "607-324-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORNELL MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "607-324-8700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "116454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hornell Dental Professionals, LLP
• Hornell Eye Associates
• Hornell Eye Associates LLC
• Hornell Gardens, LLC (Hornell Gardens)
• Hornell Internal Medicine & Nephrology, PC
• Hornell Surgical Group
• Alicia Marie Hubbard, MTBC
• Amorette Hudzina, OTR/L
• Jenna Carlynn Hunt, RN
• Joy Juhee Hur, DO

• Internal Medicine Physician in Hornell, NY
• Providers in Hornell, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.