NPIMap

Organization Active NPI

Elcor Operating Company LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Horseheads, NY
National Provider Identifier
1386900348
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
ELCOR OPERATING COMPANY LLC
Practice address
48 Colonial Dr
Horseheads, NY 14845-8532
Phone
(607) 739-3654
Fax
(607) 739-3213
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Mr. Israel Sherman
Title
Member
Phone
(607) 739-3654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

48 Colonial Dr
Horseheads, NY 14845-8532

Mailing address

48 Colonial Dr
Horseheads, NY 14845-8532
Phone (607) 739-3654

Other names 1

  • Elcor Nursing & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elcor Health Services Inc3 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1386900348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 COLONIAL DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458532",
            "telephone_number": "607-739-3654",
            "fax_number": "607-739-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 COLONIAL DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458532",
            "telephone_number": "607-739-3654",
            "fax_number": "607-739-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCOR OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "607-739-3654",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elcor Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 4, 2012; 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.