Individual provider Active NPI

Tracy Lynn Laflair, MD

  • Family Medicine Physician
  • Ogdensburg, NY
National Provider Identifier
1033228986
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208477 Issued in NY
Practice address
1107 Linden St
Ogdensburg, NY 13669-4496
Phone
(315) 393-0797
Fax
(315) 393-0529
NPI assigned
Aug 30, 2006
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 208477 NY Primary

Addresses

Primary practice location

1107 Linden St
Ogdensburg, NY 13669-4496

Mailing address

1107 Linden St
Ogdensburg, NY 13669-4496
Phone (315) 393-0797

Other identifiers 2

IdentifierTypeStateIssuer
P00149682OtherNYPALMETTO (MCR) RR
01925162MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000584 NY Practitioner - Family Practice 0042481251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Claxton-Hepburn Medical Center CurrentSince Jul 2, 1999 Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1033228986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 LINDEN ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694496",
            "telephone_number": "315-393-0797",
            "fax_number": "315-393-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 LINDEN ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694496",
            "telephone_number": "315-393-0797",
            "fax_number": "315-393-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLAIR",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO (MCR) RR",
            "identifier": "P00149682",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01925162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.