ITHACA MEDICAL GROUP, PLLC
NPI 1962561951
Internal Medicine in Ithaca, NY

Active since December 06, 2006
1301 TRUMANSBURG RD, SUITE P, ITHACA, NY 14850(607) 272-5414(607) 272-6121 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ithaca Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITHACA MEDICAL GROUP, PLLC (NPI 1962561951) is a healthcare organization registered as an internal medicine in Ithaca, New York and active in the NPI registry since December 2006. The organization lists Charles Labe Garbo, Owner, as its authorized official.

NPPES Registry Identity

NPI1962561951
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameITHACA MEDICAL GROUP, PLLC
Location Address1301 TRUMANSBURG RD, SUITE PIthaca, NY 14850-1397
Mailing Address201 Harris B Dates Dr, Suite 102Ithaca, NY 14850-1345 · (607) 272-5414 · Fax (607) 272-6121
Fax(607) 272-6121
Organization SubpartNo
Authorized OfficialCharles Labe GarboOwner · (607) 272-5414
Enumeration DateDecember 6, 2006
Last NPPES UpdateOctober 28, 2008
NPI 1962561951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1301 TRUMANSBURG RD, Ithaca, NY 14850

Other Identifiers 1

Medicare ID-Type UnspecifiedAA1340NY · Medicare Provider Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1301 TRUMANSBURG RD, SUITE H
ITHACA, NY 14850
Specialist
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Physician Assistant (Surgical)
1301 TRUMANSBURG RD, STE E
ITHACA, NY 14850
Physician Assistant
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Orthopaedic Surgery
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Urology
1301 TRUMANSBURG RD, SUITE M
ITHACA, NY 14850
Physician Assistant
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Nurse Practitioner (Pediatrics)
1301 TRUMANSBURG RD, SUITE H
ITHACA, NY 14850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ithaca Medical Group, PLLC's NPI number?

The NPI number for Ithaca Medical Group, PLLC is 1962561951. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Ithaca Medical Group, PLLC located?

Ithaca Medical Group, PLLC is located at 1301 Trumansburg Rd Suite P, Ithaca, NY 14850. The listed phone number is (607) 272-5414.

What is Ithaca Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ithaca Medical Group, PLLC was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.