NPIMap

Organization Active NPI

Southern Tier Pediatrics PC

  • Pediatrics Physician
  • Horseheads, NY
National Provider Identifier
1598794885
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOUTHERN TIER PEDIATRICS PC
Practice address
3344 Chambers Rd Ste 200
Horseheads, NY 14845-1403
Phone
(607) 734-2264
Fax
(607) 767-0340
NPI assigned
Jul 1, 2006
Organization subpart
Yes
Parent organization
SOUTHERN TIER PEDIATRICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Betty J Butler
Title
Administrator
Phone
(607) 734-2264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3344 Chambers Rd Ste 200
Horseheads, NY 14845-1403

Mailing address

3344 Chambers Rd Ste 200
Horseheads, NY 14845-1403
Phone (607) 734-2264

National Provider Directory

National Provider Directory
Part of
Southern Tier Pediatric

Locations

302 Hoffman St
Elmira, NY 14905
Phone (607) 734-2264

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598794885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 CHAMBERS RD STE 200",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451403",
            "telephone_number": "607-734-2264",
            "fax_number": "607-767-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 CHAMBERS RD STE 200",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451403",
            "telephone_number": "607-734-2264",
            "fax_number": "607-767-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER PEDIATRICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN TIER PEDIATRICS PC",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "607-734-2264"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.