NPIMap

Organization Active NPI

Arnot Ogden Medical Center

  • Community/Retail Pharmacy
  • Elmira, NY
National Provider Identifier
1831875004
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ARNOT OGDEN MEDICAL CENTER
Practice address
200 Madison Ave Ste 1G
Elmira, NY 14901-3219
Phone
(607) 733-6541
NPI assigned
Jun 23, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Ronette Wiley
Title
Sr. VP & Chief Operating Officer
Phone
(607) 737-4486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

200 Madison Ave Ste 1G
Elmira, NY 14901-3219

Mailing address

600 Roe Ave
Elmira, NY 14905-1676
Phone (607) 737-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231208001139 NY Part B Supplier - Pharmacy 5395798417 Practice locations: Elmira, NY
O20241127000051 NY DME Supplier - Pharmacy 5395798417 Practice locations: Elmira, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Arnot Ogden Medical Center200 Madison Ave, Elmira, NY 14901-3219(607) 398-3148 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1997

National Provider Directory

National Provider Directory
Tax ID family
Arnot Ogden Medical Ctr9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

200 Madison Ave
Ste 1A
Elmira, NY 14901
Phone (607) 734-4110

200 Madison Ave
Ste 1D
Elmira, NY 14901
Phone (607) 873-1832

200 Madison Ave
Ste 2D
Elmira, NY 14901
Phone (607) 271-3442

555 Saint Josephs Blvd
Ste 2A
Elmira, NY 14901
Phone (607) 795-8161

555 Saint Josephs Blvd
Ste EG1
Elmira, NY 14901
Phone (607) 737-7012

600 Fitch St
Ste 201
Elmira, NY 14905
Phone (607) 735-0323

600 Roe Ave
Fl 4
Elmira, NY 14905
Phone (607) 271-3780

600 Roe Ave
Ste 1G
Elmira, NY 14905
Phone (607) 737-4130

600 Roe Ave
Ste 4A
Elmira, NY 14905
Phone (607) 271-3780

602 Ivy St
Fl 2
Elmira, NY 14905
Phone (607) 735-4633

100 John Roemmelt Dr
Ste 101
Horseheads, NY 14845
Phone (607) 739-0352

100 John Roemmelt Dr
Ste 301
Horseheads, NY 14845
Phone (607) 739-0352

521 W Seneca St
Ithaca, NY 14850
Phone (607) 330-1254

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ira Davenport Memorial Hospital, Inc.Bath, NY, CCN 330800 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
Ira Davenport Memorial Hospital, Inc.Bath, NY, CCN 335706 Skilled nursing facility Operational/Managerial Control Jan 1, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 270

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.

View all 270

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1831875004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051676",
            "telephone_number": "607-737-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MADISON AVE STE 1G",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013219",
            "telephone_number": "607-733-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOT OGDEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "RONETTE",
        "authorized_official_title_or_position": "SR. VP & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "607-737-4486"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.