Chautauqua Health & Fitness LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

CHAUTAUQUA HEALTH & FITNESS LLC

Practice address

1170 Central Ave
Dunkirk, NY 14048-3424

Phone

(716) 363-6383

Fax

(716) 363-6384

NPI assigned

Jul 21, 2011

Last updated

Jul 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark S. Ellwood

Title

Owner

Phone

(716) 363-6383

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1992093108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140483424",
            "telephone_number": "716-363-6383",
            "fax_number": "716-363-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140483424",
            "telephone_number": "716-363-6383",
            "fax_number": "716-363-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA HEALTH & FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "ELLWOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-363-6383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amara Chase, RN
• Chautauqua Adult Day Care Centers, Inc
• Chautauqua County Chapter of Nysarc Inc.
• Chautauqua County Health Department
• Chautauqua County Home
• Chautauqua Opportunities, Inc.
• Chautauqua Radiology, PC
• Kristina Marie Christopher, FNP
• Terry Lee Christy, RN
• James Joseph Cirbus, MD

• Health Educator in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.