Organization Active NPI

Elmira Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Horseheads, NY
National Provider Identifier
1316034960
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00372005MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.