JCR Medicine Canal Street PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JCR MEDICINE CANAL STREET PLLC

Practice address

961 Canal St
Syracuse, NY 13210-1203

Phone

(315) 478-1977

Fax

(315) 428-9233

NPI assigned

Nov 20, 2015

Last updated

Nov 20, 2015By 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

John C Radford, MD

Title

Owner

Phone

(716) 699-9032

Specialties & licenses 1

Addresses

Other names 1

• IMA Other name

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1225402779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310248",
            "telephone_number": "315-478-1977",
            "fax_number": "315-428-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 CANAL ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101203",
            "telephone_number": "315-478-1977",
            "fax_number": "315-428-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCR MEDICINE CANAL STREET PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-699-9032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Javier, MS CCC-SLP
• Dominic C Javier
• Edgar E Javier, PHARM. D
• Mohammed Jawed, M.D.
• Jayvana R LLC
• Darline Jean-Gilles
• Julliana Jean-Mary, PA
• Patrice Kelsey Jean, M.S., CF-SLP
• Lauren Marie Jedrysik
• Jeffrey a. Winfield, M.D.,PH.D.,PC

• Internal Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.