Elizabeth R Jagoda, MS CCC SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019945 Issued in NY

Practice address

774 Fairmount Ave
Jamestown, NY 14701-2609

Phone

(716) 338-0668

Fax

(866) 694-4979

NPI assigned

Apr 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth R Wilger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1619294758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "address_2": "BILLING DEPARTMENT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012609",
            "telephone_number": "716-338-0668",
            "fax_number": "866-694-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012609",
            "telephone_number": "716-338-0668",
            "fax_number": "866-694-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGODA",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "MS CCC SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WILGER",
            "middle_name": "R",
            "credential": "MS CCC-SLP/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seth Henry Iverson, MD
• Lewis James Ives III, RPH
• Daile M Jackson, PT, DPT
• Todd Jacobson, M.D.
• Lisa Jaeckle
• Ankur Jain, M.D.
• Jamestown Anesthesia Associates, PC
• Jamestown Area Medical Associates, L.L.P.
• Jamestown Area Pathology ,LLC
• Jamestown City School District

• Speech-Language Pathologist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.