Organization Active NPI

Elmira ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Elmira, NY
National Provider Identifier
1295720530
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0701203R Issued in NY
Legal business name
ELMIRA ASC LLC
Practice address
210 William St
Elmira, NY 14901-3113
Phone
(607) 734-1305
Fax
(607) 398-3414
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Thomas Friedrich
Title
Administrator
Phone
(607) 734-2984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0701203R NY Primary

Addresses

Primary practice location

210 William St
Elmira, NY 14901-3113

Mailing address

210 William St
Elmira, NY 14901-3113
Phone (607) 734-1305

National Provider Directory

National Provider Directory

Locations

210 William St
Elmira, NY 14901
Phone (607) 734-1305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1295720530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WILLIAM ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013113",
            "telephone_number": "607-734-1305",
            "fax_number": "607-398-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WILLIAM ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013113",
            "telephone_number": "607-734-1305",
            "fax_number": "607-398-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMIRA ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "607-734-2984"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "0701203R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.