Practitioner Services of the Southern Tier

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

206255 Issued in NY

Legal business name

PRACTITIONER SERVICES OF THE SOUTHERN TIER

Practice address

739 Larchmont Rd
Elmira, NY 14905-1216

Phone

(607) 734-8039

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Mary Johanna Foster, N.P.NPI 1245282433

Title

President

Phone

(607) 734-8039

Specialties & licenses 2

Addresses

Practitioners 1

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

• Mary J. Foster, RN, CS, FNP

  • Nurse Practitioner
  • Elmira, NY
  • NPI 1245282433
  NPD (past) Authorized official

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1427231919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 LARCHMONT RD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051216",
            "telephone_number": "607-734-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 LARCHMONT RD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051216",
            "telephone_number": "607-734-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTITIONER SERVICES OF THE SOUTHERN TIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-734-8039",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206255",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "331091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Peter Povanda, D.O.
• Morgan Povoski, OTR/L
• Amy Melinda Powell, P.T.A.
• Eric Powers, RDN
• Joshua Powers, PMHNP
• Helena Prieto, DO
• Joyce Pritchard
• Wendy V Proctor, FPMHNP
• Kathie Brooke Proper
• Marcia Lee Proper, MA,CCC-SLP

• Internal Medicine Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.