NPIMap

Organization Active NPI

Auburn Memorial Medical Services, PC

Doing business as Auburn Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Auburn, NY
National Provider Identifier
1003515800
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
AUBURN MEMORIAL MEDICAL SERVICES, PC
Doing business as
Auburn Orthopaedic Specialists
Practice address
77 Nelson St Ste 120
Auburn, NY 13021-1941
Phone
(315) 252-7559
Fax
(315) 253-8104
NPI assigned
Mar 1, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AUBURN MEMORIAL MEDICAL SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Conway-Russell
Title
Provider Enrollment Specialist
Phone
(315) 253-1838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU

Addresses

Primary practice location

77 Nelson St Ste 120
Auburn, NY 13021-1941

Mailing address

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7576

Other names 1

  • Auburn Orthopaedic Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Auburn Memorial Medical Services PC2 organizations share this tax ID, including this one
Part of
Auburn Memorial Medical Services PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1003515800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7576",
            "fax_number": "315-702-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON ST STE 120",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211941",
            "telephone_number": "315-252-7559",
            "fax_number": "315-253-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN MEMORIAL MEDICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUBURN MEMORIAL MEDICAL SERVICES, PC",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "CONWAY-RUSSELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "315-253-1838"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Orthopaedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.