Basic Information
| Provider Information | |||||||||
| NPI: | 1194897033 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HIGHT | ||||||||
| FirstName: | JAMES | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 NORTH ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | GENEVA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 144561561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157875100 | ||||||||
| FaxNumber: | 3157875108 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 NORTH ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | GENEVA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 144561561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157875100 | ||||||||
| FaxNumber: | 3157875108 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2006 | ||||||||
| LastUpdateDate: | 06/28/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 211735 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | P00003453 | 01 | NY | R.R. MEDICARE | OTHER | 102968CK | 01 | NY | PREFERRED CARE | OTHER | 297938 | 01 | NY | GHI | OTHER | P010211735 | 01 | NY | BLUE CHOICE | OTHER | 1895963 | 05 | NY | MEDICAID | P010211735 | 01 | NY | BLUE SHIELD | OTHER |