PHG Medical Office, LLP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

096889 Issued in NY

Legal business name

PHG MEDICAL OFFICE, LLP

Practice address

1942 Military Tpke
Plattsburgh, NY 12901-7375

Phone

(518) 310-3644

Fax

(518) 310-3645

NPI assigned

Aug 8, 2016

Last updated

Dec 1, 2016By 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

Mr. Donald M Werner, MDNPI 1083608665

Title

Owner

Phone

(518) 310-3644

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Donald M Werner, M.D.

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1083608665
  Authorized official Same address or phone

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1184178121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017375",
            "telephone_number": "518-310-3644",
            "fax_number": "518-310-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017375",
            "telephone_number": "518-310-3644",
            "fax_number": "518-310-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHG MEDICAL OFFICE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-310-3644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "096889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Persaud, MD
• Ashley Peters, PHARM.D.
• Daniel J Peters
• Emily Amelia Petro, CCC-SLP
• Dhiraj Phadtare, P.T.
• Brenda M. Phillips, MD
• Brigitte Louise Phillips, M.S.
• Dove Phillips, LMHC, ATR-BC
• Michael Edward Phillips, MD
• Robert E. Phillips, A.B.O.C.

• Primary Care Clinic/Center in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.