Active NPI
Elmira Orthopaedic Associates, PC
- Orthopaedic Surgery Physician
- Horseheads, NY
National Provider Identifier
1316034960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ELMIRA ORTHOPAEDIC ASSOCIATES, PC
- Practice address
- 100 John Roemmelt Dr
Suite 102
Horseheads, NY 14845-8301 - Phone
- (607) 795-1666
- Fax
- (607) 796-0839
- NPI assigned
- Oct 6, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Randall Sampson
- Title
- Practice Manager
- Phone
- (607) 795-1666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
100 John Roemmelt Dr
Suite 102
Horseheads, NY 14845-8301
Mailing address
100 John Roemmelt Drive
Suite 102
Horseheads, NY 14845-8302
Phone (607) 795-1666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00372005 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Horseheads, NY
- NPI 1962401125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316034960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 JOHN ROEMMELT DRIVE",
"address_2": "SUITE 102",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458302",
"telephone_number": "607-795-1666",
"fax_number": "607-796-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JOHN ROEMMELT DR",
"address_2": "SUITE 102",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458301",
"telephone_number": "607-795-1666",
"fax_number": "607-796-0839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMIRA ORTHOPAEDIC ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAMPSON",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "607-795-1666",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00372005",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
- Elcor Health Services, Inc.
- Elcor Health Services, Inc. (Elcor Nursing Home)
- Elcor Operating Company LLC (Elcor Nursing & Rehabilitation Center)
- Elcor Operating Company, LLC
- Elizabeth Ann Ellison
- Amr M. Elsisi, MD
- John Anthony Emanuel III, DDS
- Emerging Vision Inc (sterling optical)
- Endocrinology Medical PLLC
- Warren E Eng, DDS,FAGD,PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.