Garnetta McCoy Ely, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

157013 Issued in NY

Practice address

3170 West St
Canandaigua, NY 14424-1712

Phone

(585) 396-6190

Fax

(585) 396-6191

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  NPD
• The Frederick Ferris Thompson Hospital

  dba UR Medicine Thompson Health Victor Medical Group Pharmacy

  • Community/Retail Pharmacy
  • Victor, NY
  • NPI 1831914274
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700994522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SAVANNAH CT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241712",
            "telephone_number": "585-396-6190",
            "fax_number": "585-396-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "GARNETTA",
        "middle_name": "MCCOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "157013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01577664",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P010157013",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101048CD",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly L Eldredge
• Kristn Anne Eldredge, LMT
• John Rosario Elia, DPT
• Diana E Ellis, MD
• Elm Manor Nursing Home, Inc.
• Julie A. English, PHARMD.
• Todd Erb, LPN
• Kurt McBride Erhardt, MD
• Eriah, Inc (Aberle Eye Care)
• John Peter Estabrook, MSW

• Rheumatology Physician in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.