DR. CHRIS L KJOLHEDE M.D. NPI 1003873472

Pediatrics in Cooperstown, NY

About CHRIS KJOLHEDE

Chris Kjolhede is a provider in Cooperstown, NY. The NPI number assigned to this provider is 1003873472. The practitioner's primary taxonomy code is Pediatrics (208000000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Chris Kjolhede is registered with Medicare.

NPI1003873472 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. CHRIS L KJOLHEDE M.D.
Provider Location Address1 ATWELL RD COOPERSTOWN, NY 13326 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 725 COOPERSTOWN, NY 13326 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-28-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-22-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. CHRIS L KJOLHEDE M.D.
1 ATWELL RD
COOPERSTOWN, NY
ZIP 13326
Phone: (607) 547-3290
Fax: (607) 547-5605
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Mailing Address

DR. CHRIS L KJOLHEDE M.D.
PO BOX 725
COOPERSTOWN, NY
ZIP 13326
Phone: (607) 547-3290
Fax: (607) 547-5605

Primary Taxonomy

Taxonomy Code208000000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.159772
License StateNY
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
70416UMEDICARE ID-TYPE UNSPECIFIED (04)NY
01488531MEDICAID (05)NY
B70758MEDICARE UPIN (02)NY

Map Location


DR. CHRIS L KJOLHEDE M.D. address is 1 ATWELL RD COOPERSTOWN, NY 13326

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134108244 O SCOTT RAFFO M.D.
Individual
Anesthesiology1 ATWELL RD BASSETT HEALTHCARE, ANESTHESIOLOGY DEPARTMENT
COOPERSTOWN, NY 13326
(607) 547-3153
1134189715DR. THOMAS E GAYESKI M.D.
Individual
Anesthesiology1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3909
1144280793DR. MICHAEL P LACHANCE M.D.
Individual
Anesthesiology1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3909
1184685406DR. JAMES T DALTON M.D.
Individual
Internal Medicine1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3967
1225004716 NICHOLAS JOHN HELLENTHAL M.D.
Individual
Urology1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3075
1225020357 BETH A MARKS RPA C
Individual
Physician Assistant1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-4762
1235129297DR. WILLIAM CHARLES WASSEL M.D.
Individual
Pediatrics1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3074
1285695429DR. DENNIS A SAVOIE M.D.
Individual
Internal Medicine1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3909
1295795805DR. PETER J GENCARELLI M.D.
Individual
Anesthesiology1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3909
1336118710 TAMI ELAINE PELCER PA-C
Individual
1 ATWELL RD
COOPERSTOWN, NY 13326
(315) 823-4506
1437124666DR. MARGARET RUTH YOUNG M.D.
Individual
Pediatrics1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-7980
1497721369DR. DAVID J BERNARD MD
Individual
Anesthesiology1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3153
1508841222DR. KELLY M RUDD PHARM.D., BCPS
Individual
Pharmacist (Pharmacotherapy)1 ATWELL RD C/O BASSETT HEALTHCARE
COOPERSTOWN, NY 13326
(607) 547-3631
1609837749DR. JONATHAN A GREENBERG M.D.
Individual
Anesthesiology1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3909
1619946662DR. PAUL DONNALD RUSSO O.D
Individual
Optometrist1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-6831
1679566350MS. MARIA E ALLEN NP
Individual
Nurse Practitioner (Psych/Mental Health)1 ATWELL RD DEPARTMENT OF PSYCHIATRY
COOPERSTOWN, NY 13326
(607) 547-3500
1700847886DR. JACKSON K LABUDDE M.D.
Individual
Orthopaedic Surgery1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3476
1700847936DR. ANTOINETTE M KUZMINSKI M.D.
Individual
Internal Medicine1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3772
1801861968DR. STEVEN J HENEGHAN M.D.
Individual
Surgery1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3986
1841265980DR. HENRY F WEIL M.D.
Individual
1 ATWELL RD
COOPERSTOWN, NY 13326
(607) 547-3909