Active NPI
Nicholas H. Noyes Memorial Hospital
- Internal Medicine Physician
- Dansville, NY
National Provider Identifier
1861779449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NICHOLAS H. NOYES MEMORIAL HOSPITAL
- Practice address
- 111 Clara Barton St
Dansville, NY 14437 - Phone
- (585) 335-6001
- NPI assigned
- Nov 9, 2011
- Organization subpart
- Yes
- Parent organization
- NICHOLAS H. NOYES MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Prunoske
- Title
- Cfo
- Phone
- (585) 335-6001
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nephrology Physician | 207RN0300X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Surgery Physician | 208600000X | |||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
111 Clara Barton St
Dansville, NY 14437
Mailing address
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2527000H | Other | NY | NYS LICENSE |
Other names 1
- Noyes Physician Practices
National Provider Directory
National Provider Directory- Tax ID family
- Nicholas H Noyes Memorial
- Part of
- Nicholas H Noyes Memorial
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Dansville, NY
- NPI 1568037141
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mount Morris, NY
- NPI 1053872762
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Geneseo, NY
- NPI 1912175621
-
- Anesthesiology Physician
- Dansville, NY
- NPI 1487649539
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wellsville, NY
- NPI 1881587657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1861779449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLARA BARTON ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379503",
"telephone_number": "585-335-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLARA BARTON ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "14437",
"telephone_number": "585-335-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS H. NOYES MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NICHOLAS H. NOYES MEMORIAL HOSPITAL",
"enumeration_date": "2011-11-09",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "PRUNOSKE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "585-335-6001"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "2527000H",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Noyes Physician Practices",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Noyes Physician Practices",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dansville, NY
- Joette Elizabeth Nagle, RN
- Kristen Lynn New, MS, APRN, FNP-C
- Nicholas H Noyes Memorial Hospital
- Nicholas H. Noyes Memorial Hospital
- Nicholas H. Noyes Memorial Hospital
- Nicholas H. Noyes Memorial Hospital
- Nicholas Noyes Hospital
- Ziv Noam, LMSW
- Noyes Health Anesthesia Service
- Noyes Mental Health Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.