Active NPI
True North Emergency Medical, PLLC
- Emergency Medicine Physician
- Potsdam, NY
National Provider Identifier
1154763522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 227469
- Legal business name
- TRUE NORTH EMERGENCY MEDICAL, PLLC
- Practice address
- 50 Leroy St
Potsdam, NY 13676-1786 - Phone
- (315) 782-2669
- Fax
- (315) 788-4980
- NPI assigned
- Jul 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason D. Lorenc, MD
- Title
- Owner/Physician
- Phone
- (315) 782-2669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 227469 | NY | Primary |
Addresses
Primary practice location
50 Leroy St
Potsdam, NY 13676-1786
Mailing address
1116 Arsenal St
Suite 504
Watertown, NY 13601-2229
Phone (315) 782-2669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02708405 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374710400000",
"number": "1154763522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 ARSENAL ST",
"address_2": "SUITE 504",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012229",
"telephone_number": "315-782-2669",
"fax_number": "315-788-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LEROY ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761786",
"telephone_number": "315-782-2669",
"fax_number": "315-788-4980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE NORTH EMERGENCY MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A",
"authorized_official_last_name": "LORENC",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "315-782-2669",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NY",
"license": "227469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02708405",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.