Ivy Obstetrics & Gynecology Assoc PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

IVY OBSTETRICS & GYNECOLOGY ASSOC PC

Practice address

600 Ivy St
Elmira, NY 14905-1627

Phone

(607) 734-4191

Fax

(607) 734-0026

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Walter Freeman, M.D.

Title

Partner

Phone

(607) 734-4191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esperanza Ducot, CNM

  • Advanced Practice Midwife
  • Elmira, NY
  • NPI 1447324983
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1396763124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 IVY ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051627",
            "telephone_number": "607-734-4191",
            "fax_number": "607-734-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 IVY ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051627",
            "telephone_number": "607-734-4191",
            "fax_number": "607-734-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY OBSTETRICS & GYNECOLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "607-734-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345431",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tia Nicole Irvin, LPN
• Christina Ishihara
• Subhi Mohammad Islam, DO
• Ithaca Dispatch
• Mark J Ivanick, MD
• Baker Jabir
• Janice Elaine Jackson, RN
• Phyllis Jackson
• Syed H Jaffery, M.D
• Lauren Katherine James

• Obstetrics & Gynecology Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.