United Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNITED MEDICAL ASSOCIATES

Doing business as

Kirkwood

Practice address

5 Mile Point Plaza
Kirkwood, NY 13795

Phone

(607) 775-1771

Fax

(607) 775-5479

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Angela Iacovelli

Title

Coo/Cfo

Phone

(607) 770-0025

Specialties & licenses 1

Addresses

Other names 1

• Kirkwood Doing business as

Tax ID family

Kirkwood3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• United Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Binghamton, NY
  • NPI 1457863979
  NPD tax ID
• United Medical Associates, P.C.

  dba Owego Walk-In

  • Family Medicine Physician
  • Owego, NY
  • NPI 1013197557
  NPD tax ID

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1336322999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902558",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MILE POINT PLAZA",
            "city": "KIRKWOOD",
            "state": "NY",
            "postal_code": "13795",
            "telephone_number": "607-775-1771",
            "fax_number": "607-775-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "IACOVELLI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "607-770-0025"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Lynn Stone, RN, BSN
• Aliece Tanzini, CASAC II, SAP, CLC
• Lily Marie Trabold
• Angeliki Trifonopoulos, MHC-LP
• Hannah Beth Truman
• Susan B Wanamaker, CCC-LSP
• Laura E Ward, LCSW-R
• Howard Jay Warner, D.D.S.
• Caitlin Alana Watson
• Alberta Wilmot, RN

• Family Medicine Physician in Kirkwood, NY
• Providers in Kirkwood, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.