Southern Tier Oncology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

203350 Issued in NY

Legal business name

SOUTHERN TIER ONCOLOGY LLC

Practice address

21 Orchard St
Hornell, NY 14843-2111

Phone

(607) 324-0061

Fax

(607) 324-7547

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pradeep Sharda, MD

Title

Director

Phone

(607) 324-0061

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Kelley Mann, DNP, FNP-BC

  • Family Nurse Practitioner
  • Alfred, NY
  • NPI 1821214180
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1952469769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ORCHARD ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432111",
            "telephone_number": "607-324-0061",
            "fax_number": "607-324-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ORCHARD ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432111",
            "telephone_number": "607-324-0061",
            "fax_number": "607-324-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "SHARDA",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "607-324-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "203350",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "203720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01732576",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01678477",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Keith Smith, D.C.
• Sharon Loraine Smith, FNP
• Raegen Smythe
• Patricia R. Soper, DC
• Sergio Salvatore Sorrentino, M.D.
• Southern Tier Optometric Center, Inc. (Council Optometric Center)
• Marietta L. Sparro, RN
• Spencer P. Annabel M.D., PC
• Kimber L Spencer, RN
• Samantha Nicole Spencer

• Specialist in Hornell, NY
• Providers in Hornell, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.