Great North Woods Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

166346 Issued in NY

Legal business name

GREAT NORTH WOODS MEDICAL PC

Practice address

23 Hammond LN
Plattsburgh, NY 12901-2000

Phone

(518) 561-1322

Fax

(518) 561-3420

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Reinier F Ultee, MD

Title

President

Phone

(518) 561-1322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235188756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HAMMOND LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-561-1322",
            "fax_number": "518-561-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HAMMOND LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-561-1322",
            "fax_number": "518-561-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NORTH WOODS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULTEE",
        "authorized_official_first_name": "REINIER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-561-1322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Gowett, RD
• Rachelle A Grad, MD
• Leo A Grafstein, M.D.
• Michael John Grasic, MD
• Athena A Graves, DDS
• Alan H Greene
• Kevin Alan Greene, OPTICIAN
• Beryl Ann Gregory
• Newton W. Greiner Sr., D.MIN DOCTOR OF MINI
• Alexis Poore Grennan

• Internal Medicine Physician in Plattsburgh, NY
• Providers in Plattsburgh, 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 Aug 22, 2020; 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.