Active NPI
Karen Kantor, DO
- Specialist
- Ogdensburg, NY
National Provider Identifier
1033170840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 214 King Street
Ogdensburg, NY 13669 - Phone
- (315) 393-3600
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5101007040 | MI | |
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
214 King Street
Ogdensburg, NY 13669
Mailing address
214 King St
Ogdensburg, NY 13669
Phone (315) 393-3600
Other practice location 1
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (313) 732-7726
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405630875 | Other | MI | BLUE CROSS BLUE SHEILD |
| 03266786 | Medicaid | NY | |
| 382032989 | Other | MI | COMMERCIAL |
| KK007040 | Other | MI | BLUE CROSS BLUE SHEILD |
| P00472866 | Other | MI | MEDICARE RAIL ROAD |
| 3405630875 | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007040 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John Health System Oakland | Past | Accepting new patients | |
| Bluewater Pathology PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Port Huron, MI
- NPI 1528155793
-
- Anatomic Pathology & Clinical Pathology Physician
- Madison Heights, MI
- NPI 1366470908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1033170840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 KING ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-393-3600",
"fax_number": "315-393-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 KING STREET",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-393-3600"
}
],
"practiceLocations": [
{
"address_1": "36475 Five Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541971",
"country_code": "US",
"telephone_number": "313-732-7726",
"fax_number": "313-732-7726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANTOR",
"first_name": "KAREN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "5101007040",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "3405630875",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03266786",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "382032989",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "KK007040",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P00472866",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "3405630875",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.