NPIMap

Organization Active NPI

Orleans Community Health

Doing business as Medina Memorial Hospital

  • Hospitalist Physician
  • Medina, NY
National Provider Identifier
1821527441
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ORLEANS COMMUNITY HEALTH
Doing business as
Medina Memorial Hospital
Practice address
200 Ohio St
Medina, NY 14103-1063
Phone
(585) 798-2000
Fax
(585) 798-8444
NPI assigned
Jun 7, 2017
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Ms. Wendy Jacobson
Title
Ceo
Phone
(585) 798-8100

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Hospitalist Physician 208M00000X Primary
Critical Access Hospital 282NC0060X NY

Addresses

Primary practice location

200 Ohio St
Medina, NY 14103-1063

Mailing address

200 Ohio St
Medina, NY 14103-1063
Phone (585) 798-2000

Other identifiers 1

IdentifierTypeStateIssuer
331319MedicaidNY

Other names 1

  • Medina Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medina Memorial Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1821527441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OHIO ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031063",
            "telephone_number": "585-798-2000",
            "fax_number": "585-798-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OHIO ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031063",
            "telephone_number": "585-798-2000",
            "fax_number": "585-798-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLEANS COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-798-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, NY

Sources for this page

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