Active NPI
St. James Hospital
Doing business as Southern Tier Health Associates
- Family Medicine Physician
- Hornell, NY
National Provider Identifier
1699839431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST. JAMES HOSPITAL
- Doing business as
- Southern Tier Health Associates
- Practice address
- 7329 Seneca Road North
Hornell, NY 14843 - Phone
- (607) 385-3960
- Fax
- (607) 385-3195
- NPI assigned
- Dec 19, 2006
- Last updated
- May 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Mitchell
- Title
- Physician Staff Coordinator
- Phone
- (607) 324-8294
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
7329 Seneca Road North
Hornell, NY 14843
Mailing address
411 Canisteo St
3Rd Floor Lincoln School
Hornell, NY 14843-2104
Phone (607) 324-8294
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01198498 | Medicaid | NY | |
| 0075639 | Other | NY | GHI GROUP # |
| ========= | Other | NY | TRICARE GROUP # |
Other names 1
- Southern Tier Health Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000649 | NY | Part B Supplier - Clinic/Group Practice | 0345154480 |
Receives reassigned benefits from 489 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hornell, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
411 Canisteo St
Fl 3
Hornell, NY 14843
Phone (607) 324-8150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588809600000",
"number": "1699839431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 CANISTEO ST",
"address_2": "3RD FLOOR LINCOLN SCHOOL",
"city": "HORNELL",
"state": "NY",
"postal_code": "148432104",
"telephone_number": "607-324-8294",
"fax_number": "607-324-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7329 SENECA ROAD NORTH",
"city": "HORNELL",
"state": "NY",
"postal_code": "14843",
"telephone_number": "607-385-3960",
"fax_number": "607-385-3195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JAMES HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PHYSICIAN STAFF COORDINATOR",
"authorized_official_telephone_number": "607-324-8294"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01198498",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI GROUP #",
"identifier": "0075639",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE GROUP #",
"identifier": "=========",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Tier Health Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southern Tier Health Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hornell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.