NPIMap

Organization Active NPI

Physician Care PC

Doing business as Oswego Health Medical Practice

  • Internal Medicine Physician
  • Oswego, NY
National Provider Identifier
1073868113
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIAN CARE PC
Doing business as
Oswego Health Medical Practice
Practice address
110 W 6TH St
Oswego, NY 13126-2507
Phone
(315) 349-5511
Fax
(315) 736-2162
NPI assigned
Jul 16, 2012
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dr. Duane Tull, MDNPI 1225073976
Title
Director
Phone
(315) 349-5511

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Orthopaedic Surgery Physician 207X00000X
Surgery Physician 208600000X
Urology Physician 208800000X

Addresses

Primary practice location

110 W 6TH St
Oswego, NY 13126-2507

Mailing address

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Other names 1

  • Oswego Health Medical Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120910000593 NY Part B Supplier - Clinic/Group Practice 9032367453 Receives reassigned benefits from 87 practitioners
Practice locations: Oswego, NY; Fulton, NY

National Provider Directory

National Provider Directory

Locations

3045 East Ave
Ste 1A
Central Square, NY 13036
Phone (315) 668-1202

510 S 4th St
Ste 140
Fulton, NY 13069
Phone (315) 349-5873

522 S 4th St
Ste 1400
Fulton, NY 13069
Phone (315) 457-4400

140 W 6th St
#202
Oswego, NY 13126
Phone (315) 349-5828

140 W 6th St
Ste 210
Oswego, NY 13126
Phone (315) 349-5828

140 W 6th St
Ste G70
Oswego, NY 13126
Phone (315) 326-3500

140 W 6th St
Ste LL30
Oswego, NY 13126
Phone (315) 349-5511

33 E Schuyler St
Ste 100
Oswego, NY 13126
Phone (315) 326-3440

448 County Route 1A
Oswego, NY 13126
Phone (315) 349-0215

90 W Utica St
Oswego, NY 13126
Phone (315) 342-2738

Practitioners & affiliated clinicians

Practitioners 92

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.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1073868113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-736-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-736-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "TULL",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-349-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oswego Health Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.