Active NPI
Elmira ASC LLC
- Ambulatory Surgical Clinic/Center
- Elmira, NY
National Provider Identifier
1295720530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0701203R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- Corning, NY
- NPI 1942294657
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.