Extended Medical Services, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EXTENDED MEDICAL SERVICES, PLLC

Practice address

1024 Hilton Parma Corners Rd
Hilton, NY 14468-9328

Phone

(585) 392-4114

Fax

(585) 392-5226

NPI assigned

Oct 3, 2006

Last updated

Aug 14, 2023By 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

Suneel M Koul, MDNPI 1881601276

Title

Owner Doctor

Phone

(585) 305-0615

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

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.

• Suneel Koul, MD

  • Emergency Medicine Physician
  • Rochester, NY
  • NPI 1881601276
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole M Depuyt, RN

  • Adult Health Nurse Practitioner
  • Rochester, NY
  • NPI 1255940268
  Medicare reassignment Care Compare group NPD
• Nancy Kwamboka Bosire

  • Registered Nurse
  • Rochester, NY
  • NPI 1487540779
  Medicare reassignment NPD
• Cory Lesher, PA

  • Physician Assistant
  • Lock Haven, PA
  • NPI 1245261197

  NY

  Medicare reassignment
• Kristine Marie Leo, NP

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1366487605
  NPD
• Mary Pat Allen, FNP

  • Family Nurse Practitioner
  • Lyons, NY
  • NPI 1952321655
  NPD (past)
• Angela Ellen Fenton, NP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1407865801
  NPD (past)
• Bonnie A Lupo, MS, FNP-C

  • Family Nurse Practitioner
  • Hilton, NY
  • NPI 1952306276
  NPD (past)
• Sharlyn Ann Secor, N.P.

  • Family Nurse Practitioner
  • Webster, NY
  • NPI 1386743318
  NPD (past)
• Pamela S Switzer, FNP-C

  • Nurse Practitioner
  • Geneva, NY
  • NPI 1316933435
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1053405241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HILTON PARMA CORNERS RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689328",
            "telephone_number": "585-392-4114",
            "fax_number": "585-392-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 HILTON PARMA CORNERS RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689328",
            "telephone_number": "585-392-4114",
            "fax_number": "585-392-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "KOUL",
        "authorized_official_first_name": "SUNEEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "585-305-0615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01852280",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Daniel Scheg Optometrist
• Jaide Edwards, M.S. CCC-SLP
• Aidan Lloyd Eldridge, DPT
• Josephine Rosemarie Elmore, N.P.
• Kara Engle, PT
• Katherine S Exter, FNP
• Renee' Michelle Falzolare, LPN
• Morgan M Farnan, LPN
• Jean-Gloria Fedele, RN
• James Dayton Feely, LMSW

• Urgent Care Clinic/Center in Hilton, NY
• Providers in Hilton, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.