NPIMap

Organization Active NPI

Claxton Medical PC

  • Pediatrics Physician
  • Ogdensburg, NY
National Provider Identifier
1114164944
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CLAXTON MEDICAL PC
Practice address
3 Lyon PL
Suite 200
Ogdensburg, NY 13669-2590
Phone
(315) 394-7542
Fax
(315) 394-0015
NPI assigned
Jan 15, 2009
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Dr. Michael SeidmanNPI 1134188725
Title
Chief Medical Officer
Phone
(315) 394-7542

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Internal Medicine Physician 207R00000X
Nephrology Physician 207RN0300X
Orthopaedic Surgery Physician 207X00000X
Orthopaedic Hand Surgery Physician 207XS0106X
Pediatrics Physician 208000000X Primary
Neurology Physician 2084N0400X
Pain Medicine Physician 208VP0000X
Pediatric Orthopaedic Surgery Physician 207XP3100X

Addresses

Primary practice location

3 Lyon PL
Suite 200
Ogdensburg, NY 13669-2590

Mailing address

3 Lyon PL
Suite 200
Ogdensburg, NY 13669-2590
Phone (315) 394-7542

Other practice location 1

305 Main St Ste 200
Ogdensburg, NY 13669-1110
Phone (315) 713-6770

Other practice location 2

1571 Washington St Ste 107
Watertown, NY 13601-9304
Phone (315) 788-2211

Other practice location 3

305 Main St Ste 100
Ogdensburg, NY 13669-1110
Phone (315) 393-2611

Other practice location 4

300 Chapman St
Morristown, NY 13664-3212
Phone (315) 375-6546

Other practice location 5

3 Lyon Pl Ste 300
Ogdensburg, NY 13669-2546
Phone (315) 394-6470

Other identifiers 1

IdentifierTypeStateIssuer
03117948MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090526000410 NY Part B Supplier - Clinic/Group Practice 0244389153 Receives reassigned benefits from 78 practitioners
1 other NPI on this enrollment
Practice locations: Ogdensburg, NY; Morristown, NY; Alexandria Bay, NY; Canton, NY; Massena, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

38 Hospital Dr
Massena, NY 13662
Phone (315) 764-1121

3 Lyon Pl
Ste 300
Ogdensburg, NY 13669
Phone (315) 393-6186

305 Main St
Ste 100
Ogdensburg, NY 13669
Phone (315) 393-2611

Practitioners & affiliated clinicians

Practitioners 78

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 78

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1114164944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LYON PL",
            "address_2": "SUITE 200",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-394-7542",
            "fax_number": "315-394-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LYON PL",
            "address_2": "SUITE 200",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692590",
            "telephone_number": "315-394-7542",
            "fax_number": "315-394-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136691110",
            "country_code": "US",
            "telephone_number": "315-713-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1571 Washington St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136019304",
            "country_code": "US",
            "telephone_number": "315-788-2211",
            "fax_number": "315-788-0956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136691110",
            "country_code": "US",
            "telephone_number": "315-393-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Chapman St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NY",
            "postal_code": "136643212",
            "country_code": "US",
            "telephone_number": "315-375-6546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Lyon Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136692546",
            "country_code": "US",
            "telephone_number": "315-394-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLAXTON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF  MEDICAL OFFICER",
        "authorized_official_telephone_number": "315-394-7542",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03117948",
            "state": "NY"
        }
    ],
    "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 Nov 15, 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.