NPIMap

Organization Active NPI

Alfred University

Doing business as Alfred University Sports Medicine

  • Family Medicine Physician
  • Alfred, NY
National Provider Identifier
1033511787
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALFRED UNIVERSITY
Doing business as
Alfred University Sports Medicine
Practice address
1 Saxon Dr
McLane Gymnasium
Alfred, NY 14802-1205
Phone
(607) 871-2891
Fax
(607) 871-2712
NPI assigned
Sep 24, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Jessica HurlbutNPI 1659657187
Title
Head Athletics Trainer
Phone
(607) 871-2916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1 Saxon Dr
McLane Gymnasium
Alfred, NY 14802-1205

Mailing address

5050 Spring Valley Rd
Dallas, TX 75244-3995
Phone (800) 555-9073

Other names 1

  • Alfred University Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1 Saxon Dr
Alfred, NY 14802
Phone (607) 871-2783

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1033511787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAXON DR",
            "address_2": "MCLANE GYMNASIUM",
            "city": "ALFRED",
            "state": "NY",
            "postal_code": "148021205",
            "telephone_number": "607-871-2891",
            "fax_number": "607-871-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "HURLBUT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "HEAD ATHLETICS TRAINER",
        "authorized_official_telephone_number": "607-871-2916"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alfred University Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alfred, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.