Claxton Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLAXTON MEDICAL PC

Doing business as

Claxton Hepburn Convenient Care

Practice address

921 State St
Ogdensburg, NY 13669-3347

Phone

(315) 393-1856

NPI assigned

Jun 19, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wylon Springstead

Title

Billing Manager

Phone

(315) 393-2850

Specialties & licenses 3

Addresses

Other names 1

• Claxton Hepburn Convenient Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Claxton Medical PC

  • Pediatrics Physician
  • Ogdensburg, NY
  • NPI 1114164944

  O20090526000410

  Same enrollment

Locations

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mersema Tesfaye Abate, MD

  • Nephrology Physician
  • East Setauket, NY
  • NPI 1497950133
  NPD
• David Thomas Adams, RPA

  • Medical Physician Assistant
  • Hammond, NY
  • NPI 1760500474
  NPD
• Bailey Airoldi

  • Physician Assistant
  • Ogdensburg, NY
  • NPI 1376036541
  NPD
• David M Albala, M.D.

  • Urology Physician
  • Syracuse, NY
  • NPI 1386734531
  NPD
• Marta M Anghel, MD

  • Internal Medicine Physician
  • Ogdensburg, NY
  • NPI 1891855730
  NPD
• Bruce L Baird, M.D.

  • Orthopaedic Surgery Physician
  • Watertown, NY
  • NPI 1609859966
  NPD
• Scott D Beeles, RPA

  • Medical Physician Assistant
  • Ogdensburg, NY
  • NPI 1699702217
  NPD
• Gabrielle Bentley, PA-C

  • Physician Assistant
  • Madrid, NY
  • NPI 1225419054
  NPD
• Maryellen Blevins, PA

  • Physician Assistant
  • Carthage, NY
  • NPI 1104937945
  NPD
• Christopher F. Brandy, M.D.P.C.

  • Surgery Physician
  • Ogdensburg, NY
  • NPI 1740371137
  NPD
• Meagan Cooper, FNP-C

  • Family Nurse Practitioner
  • Ogdensburg, NY
  • NPI 1497588990
  NPD
• Jeffrey M De Simone, MD

  • Surgery Physician
  • Syracuse, NY
  • NPI 1699726737
  NPD

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1013399617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693347",
            "telephone_number": "315-393-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693347",
            "telephone_number": "315-393-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "SPRINGSTEAD",
        "authorized_official_first_name": "WYLON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "315-393-2850"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton Hepburn Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Storm Cilley, MED, ATC
• Sally A. Clark, LCSW-R
• Claxton Hepburn Medical Center
• Claxton Hepburn Medical Center
• Claxton Hepburn Medical Center (Claxton Hepburn Wellness Center)
• Claxton Medical PC
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center (Dr. Ravinder Agarwal Renal Center)

• Family Medicine Physician in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.