Auburn Memorial Medical Services, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

AUBURN MEMORIAL MEDICAL SERVICES, PC

Practice address

17 Lansing Street
Attn: C. McLoud
Auburn, NY 13021

Phone

(315) 567-0455

Fax

(315) 253-1795

NPI assigned

Oct 9, 2007

Last updated

Dec 13, 2021By 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

Dr. Michael Wilson, M.D.NPI 1861567661

Title

President/Treasurer

Phone

(315) 567-0455

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Auburn Memorial Medical Services, PC

  dba Auburn Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1003515800

  Member Of

  NPD member
• Auburn Memorial Medical Services, PC

  dba Auburn Orthopaedic Services

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Auburn Memorial Medical Services, PC

  dba Auburn Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1003515800
  NPPES parent name
• Auburn Memorial Medical Services, PC

  dba Auburn Orthopaedic Services

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852
  NPPES parent name

Practitioners 277

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.

• Akbar Khurshid Ahmed, MD

  • Interventional Cardiology Physician
  • Rochester, NY
  • NPI 1699908921
  Medicare reassignment Care Compare group NPD
• Daniel Alexander, MD

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1316984933
  Medicare reassignment Care Compare group NPD
• Devon Michele Amedio, CNM

  • Advanced Practice Midwife
  • Oswego, NY
  • NPI 1972191625
  Medicare reassignment Care Compare group NPD
• Shehryar Anjum, M.D.

  • Nephrology Physician
  • Auburn, NY
  • NPI 1669673398

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Ahlam Ashkar, FNP

  • Family Nurse Practitioner
  • Auburn, NY
  • NPI 1992518963
  Medicare reassignment Care Compare group NPD
• John Avanzato, M.D.

  • Gastroenterology Physician
  • Auburn, NY
  • NPI 1689693004
  Medicare reassignment Care Compare group NPD
• R. Eugene Bailey, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1568480903
  Medicare reassignment Care Compare group NPD
• Marc Louis Baker, M.D.

  • Cardiovascular Disease Physician
  • Auburn, NY
  • NPI 1790806347
  Medicare reassignment Care Compare group NPD
• Farkad Balaya, M.D.

  • Obstetrics & Gynecology Physician
  • West Seneca, NY
  • NPI 1285679621
  Medicare reassignment Care Compare group NPD
• Ronica M Bennett

  • Advanced Practice Midwife
  • Middletown, NY
  • NPI 1528611076
  Medicare reassignment Care Compare group NPD
• Ahmad Bilal, MD

  • Psychiatry Physician
  • Canandaigua, NY
  • NPI 1487747424
  Medicare reassignment Care Compare group NPD
• Migdalia Zoe Bonilla Martir, MD

  • Obstetrics & Gynecology Physician
  • Mount Kisco, NY
  • NPI 1689975690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1194913749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-567-0455",
            "fax_number": "315-567-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING STREET",
            "address_2": "ATTN: C. MCLOUD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-567-0455",
            "fax_number": "315-253-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN MEMORIAL MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "315-567-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02958950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auburn Internal Medicine and Pediatrics, LLC
• Auburn Medical PC
• Auburn Memorial Hospital
• Auburn Memorial Hospital
• Auburn Memorial Medical Services, PC (Auburn Orthopaedic Specialists)
• Auburn Memorial Medical Services, PC (Auburn Orthopaedic Services)
• Auburn Ny Oral Surgery PLLC
• Auburn Ny Pedersen Dental, PLLC (CK Family Dental)
• Auburn Orthopaedic Specialists
• Auburn Pathology Associates, PC

• Orthopaedic Surgery Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.