Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Russell Crockett Woglom, MD

Individual provider Internal Medicine Physician · NPI 1417923434

Dr. Russell Crockett Woglom, MD is an Internal Medicine in Corning, New York. Graduated from University of Massachusetts Medical School in 1984, 42 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Trained at
University of Massachusetts Medical School
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 Center Way
Corning, NY 14830-2255
Phone: (607) 936-9971
Fax: (607) 936-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 170146-1 (NY)

Record details

NPI number1417923434
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 1984 (42 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Corning