NPIMap

Organization Active NPI

The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
National Provider Identifier
1194776351
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3429000H Issued in NY
Legal business name
THE FREDERICK FERRIS THOMPSON HOSPITAL
Practice address
350 Parrish St
Canandaigua, NY 14424-1731
Phone
(585) 396-6000
NPI assigned
May 13, 2006
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Michael Stapleton
Title
President/Ceo
Phone
(585) 396-6490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3429000H NY Primary

Addresses

Primary practice location

350 Parrish St
Canandaigua, NY 14424-1731

Mailing address

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000

Other names 1

  • Thomspon Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040217000109 NY Part B Supplier - Clinic/Group Practice 3274428586 Receives reassigned benefits from 397 practitioners
Practice locations: Victor, NY; Shortsville, NY; Newark, NY; Macedon, NY; Lima, NY; Honeoye, NY; Geneva, NY; Farmington, NY…
O20040513000860 NY Part A Provider - Hospital 3274428586 Practice locations: Farmington, NY; Canandaigua, NY; Geneva, NY; Honeoye, NY; Lima, NY; Macedon, NY; Newark, NY; Shortsville, NY…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194776351. Details of each certification follow.

Hospital certification: CCN 330074

Legal name
THE FREDERICK FERRIS THOMPSON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 24, 2007
Beds
113
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 7, 2003 in NY
Enrollment address
350 Parrish St
Canandaigua, NY 14424-1731
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
F F Thompson HospitalCCN 330074 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

229 Parrish St
Ste 180
Canandaigua, NY 14424
Phone (585) 396-6483

23 North St
Ste 5
Canandaigua, NY 14424
Phone (585) 394-3920

3170 West St
Canandaigua, NY 14424
Phone (585) 396-6190

3170 West St
Ste 150
Canandaigua, NY 14424
Phone (585) 953-6135

3170 West St
Ste 201
Canandaigua, NY 14424

3170 West St
Ste 222
Canandaigua, NY 14424
Phone (585) 271-1620

351 North St
Canandaigua, NY 14424
Phone (585) 975-5125

395 West Ave
Ste 7
Canandaigua, NY 14424
Phone (585) 398-2420

395 West St
#20
Canandaigua, NY 14424

395 West St
Ste 307
Canandaigua, NY 14424
Phone (585) 396-1980

699 S Main St
Canandaigua, NY 14424
Phone (585) 396-6050

699 S Main St
Ste 5
Canandaigua, NY 14424
Phone (585) 978-8240

1160 Corporate Dr
Ste 200
Farmington, NY 14425

1614 Route 332
Ste A
Farmington, NY 14425

5505 State Route 96
Farmington, NY 14425
Phone (585) 289-3211

7325 Community Dr
Lima, NY 14485
Phone (585) 624-1960

1033 State Route 31
Ste 1
Macedon, NY 14502
Phone (315) 986-2100

800 W Miller St
Ste 11
Newark, NY 14513
Phone (315) 226-8900

800 W Miller St
Unit 1
Newark, NY 14513

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven I Goldstein Individual Corporate DirectorBoard Member Apr 28, 2017 4%
Elizabeth Potter Individual W-2 Managing Employee Nov 1, 2009
Susan L Fulmer Individual Corporate DirectorMember Apr 28, 2023 4%
Daniel Fuller Individual Corporate DirectorBoard Member Apr 28, 2017 4%
Akua a Asante Individual Corporate DirectorBoard Member Apr 29, 2022 4%
Lori Vandusen Individual Corporate DirectorBoard Member Apr 28, 2017 4%
Paul Griswold Individual Corporate DirectorBoard Member Apr 29, 2016 4%
Lauren Dixon Individual Corporate DirectorBoard Member Apr 29, 2016 4%
Mark Kovaleski Individual Corporate DirectorMember Apr 28, 2023 4%
Michael Stapleton Individual Corporate OfficerPresident/Ceo Jul 1, 2012 4%
Andrea Knaak Individual W-2 Managing EmployeeCbo Director Jun 9, 2023
Krista Jackson Individual Corporate DirectorBoard Member Apr 29, 2022 4%
Maureen Wolfe Individual Corporate DirectorBoard Member Apr 26, 2019 4%
Mark Blazey Individual Corporate DirectorBoard Member Apr 29, 2016 4%
Amarjit D Peter Individual Corporate DirectorBoard Member Apr 29, 2016 4%
Mark B Taubman Individual Corporate DirectorBoard Member Apr 28, 2017 4%
Margaret Somerset Individual Corporate DirectorBoard Member Apr 29, 2016 4%
Roger B Friedlander Individual Corporate DirectorBoard Member Apr 28, 2017 4%
Justin M Weis Individual Corporate DirectorBoard Member Apr 29, 2022 4%
David G Case Individual Corporate DirectorBoard Member Apr 28, 2017 4%
Jennifer R Jones Individual Corporate DirectorBoard Member Apr 24, 2020 4%
Dale Hunt Individual Corporate DirectorBoard Member Apr 28, 2017 4%
William Kenyon Individual Corporate DirectorBoard Member Apr 28, 2017 4%
Michael J Apostolakos Individual Corporate DirectorBoard Member Apr 27, 2018 4%
Lauren Sands Individual Corporate DirectorBoard Member Apr 27, 2018 4%
Georgia L Lamb Individual Corporate DirectorBoard Member Apr 24, 2020 4%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 428

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 428

Affiliated clinicians 839

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 839

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1194776351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241731",
            "telephone_number": "585-396-6000",
            "fax_number": "585-396-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241731",
            "telephone_number": "585-396-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FREDERICK FERRIS THOMPSON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "585-396-6490"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "3429000H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomspon Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Thomspon Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.