Individual provider Active NPI

Timothy Patrick Cobb, D.O.

  • Emergency Medicine Physician
  • Cato, NY
National Provider Identifier
1174781892
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
NY268128-1 Issued in NY
Practice address
2949 RT 370
Cato, NY 13033
Phone
(315) 626-2117
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X FNDFRGJV PA
Family Medicine Physician 207Q00000X 268128 NY
Emergency Medicine Physician 207P00000X NY268128-1 NY Primary

Addresses

Primary practice location

2949 RT 370
Cato, NY 13033

Mailing address

3145 Cold Springs Rd
Baldwinsville, NY 13027-8247
Phone (609) 713-1281

Other practice location 1

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130827000300 NY Practitioner - Emergency MedicinePractitioner - Family Practice 3971746785 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Familycare Medical Group PCGroup PAC ID 5193639565, 110 clinicians
Crouse Health Hospital IncGroup PAC ID 9739173774, 155 clinicians

Practice addresses (Care Compare)

2949 Nys Rte
Suite 370
Cato, NY 13033
Phone (315) 626-2117

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY268128-1NYMDEmergency Medicine Physician
FNDFRGJVPAMDEmergency Medicine Physician
268128NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Pathology, PC Current Accepting new patients
Familycare Medical Group, PC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Crouse Health Hospital Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Crouse Health Hospital, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients

Locations

2949 State Route 370
Cato, NY 13033
Phone (315) 626-2117

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

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

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

Interoperability endpoints

  • Direct secure messaging: tcobb1@hiemail.healtheconnections.org
  • Direct secure messaging: tcobb@fcmg.medentdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1174781892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 COLD SPRINGS RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278247",
            "telephone_number": "609-713-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 RT 370",
            "city": "CATO",
            "state": "NY",
            "postal_code": "13033",
            "telephone_number": "315-626-2117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101602",
            "country_code": "US",
            "telephone_number": "315-470-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "FNDFRGJV",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "268128",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "NY268128-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cato, NY

Sources for this page

Verify at the official NPI Registry.