Southern Tier Women'S Health Services LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SOUTHERN TIER WOMEN'S HEALTH SERVICES LLC

Practice address

149 Vestal Parkway West
Vestal, NY 13850

Phone

(607) 785-4171

Fax

(607) 785-3915

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Amy R. Cousins, M.D.

Title

Medical Director

Phone

(607) 785-4171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan M. Seibold-Simpson, FNP

  • Family Nurse Practitioner
  • Vestal, NY
  • NPI 1427175223
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1629634985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "address_2": "149 VESTAL PARKWAY WEST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138510642",
            "telephone_number": "607-785-4171",
            "fax_number": "607-785-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 VESTAL PARKWAY WEST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-785-4171",
            "fax_number": "607-785-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER WOMEN'S HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "COUSINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "607-785-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern New York Neurosurgical Group
• Southern Tier Hearing Services PLLC
• Southern Tier Pain Management
• Southern Tier Podiatry PLLC
• Southern Tier Psychiatry PLLC
• Eileen Elizabeth Spencer
• Patricia E Spencer, NP-C
• David E Sperber, MD
• Aline Stabler, NP
• Colette Stakely

• All providers in Vestal, NY
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.