North Country Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

227318 Issued in NY

Legal business name

NORTH COUNTRY FAMILY MEDICINE PLLC

Practice address

428 Washington St
Ste 4
Watertown, NY 13601-4832

Phone

(315) 788-4880

Fax

(315) 788-4896

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Jon A Emerton, M.D.NPI 1144279977

Title

Owner/Director

Phone

(315) 788-4880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon A Emerton, M.D.

  • Family Medicine Physician
  • Watertown, NY
  • NPI 1144279977

  Family Medicine, NY

  Medicare reassignment NPD Authorized official
• Paul D Barter, FNP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1679550552

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1184883555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 FACTORY ST",
            "address_2": "PO BOX 91",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012729",
            "telephone_number": "315-782-4207",
            "fax_number": "315-782-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WASHINGTON ST",
            "address_2": "STE 4",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014832",
            "telephone_number": "315-788-4880",
            "fax_number": "315-788-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "EMERTON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "315-788-4880",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Allergy and Immunology Associates PC
• North Country Counseling Services LLC
• North Country Emergency Medical Consultants,PC
• North Country Family Health Center, Inc.
• North Country Family Health Center, Inc.
• North Country Midwifery, PLLC
• North Country Neurology PC
• North Country Orthopaedic Ambulatory Surgery Center LLC
• North Country Orthopaedic Group PC
• North Country Physical Therapy

• All providers in Watertown, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.