| Cayuga Family Medicine Pc | |
|
302 W Seneca St Ithaca NY 14850-4130 | |
| (607) 697-0360 | |
| (607) 272-0240 |
| Full Name | Cayuga Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 302 W Seneca St, Ithaca, New York |
| Authorized Official Name and Position | James Loehr (OWNER PRESIDENT) |
| Authorized Official Contact | 6076970360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cayuga Family Medicine Pc 302 W Seneca St Ithaca NY 14850-4130 Ph: (607) 697-0360 | Cayuga Family Medicine Pc 302 W Seneca St Ithaca NY 14850-4130 Ph: (607) 697-0360 |
| NPI Number | 1750308474 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 01/17/2008 |
| Medicare PECOS PAC ID | 1850321464 |
|---|---|
| Medicare Enrollment ID | O20050815000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750308474 | NPI | - | NPPES |
| 02053863 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary F Howson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861447369 PECOS PAC ID: 3476562984 Enrollment ID: I20060412000103 |
| Provider Name | James Christopher Loehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205853926 PECOS PAC ID: 5890725436 Enrollment ID: I20101108000610 |
| Provider Name | Jenny E Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538443114 PECOS PAC ID: 3375717192 Enrollment ID: I20111114000130 |
| Provider Name | Amy E Aittama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346656675 PECOS PAC ID: 5294058715 Enrollment ID: I20150108000236 |
| Provider Name | Alexandra M Karnow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366887531 PECOS PAC ID: 3476784067 Enrollment ID: I20160831002808 |
| Provider Name | Sarah E Wineholt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104203900 PECOS PAC ID: 4587913637 Enrollment ID: I20180822002131 |
| Provider Name | Benjamin J Kornblum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093337446 PECOS PAC ID: 3779998570 Enrollment ID: I20210208002457 |
| Provider Name | Elizabeth A Horst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831500909 PECOS PAC ID: 3375869829 Enrollment ID: I20230211000427 |
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