Organization Active NPI

Tug Hill Urgent Medicine PLLC

  • Family Medicine Physician
  • Lowville, NY
National Provider Identifier
1235386285
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
127314 Issued in NY
Legal business name
TUG HILL URGENT MEDICINE PLLC
Practice address
7518 S State St
Suite 2
Lowville, NY 13367-1531
Phone
(315) 376-2273
Fax
(315) 376-2928
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Robert J Kasulke, M.D.
Title
MD Member
Phone
(315) 785-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 127314 NY Primary

Addresses

Primary practice location

7518 S State St
Suite 2
Lowville, NY 13367-1531

Mailing address

445 Factory St
P.O. Box 91
Watertown, NY 13601-2729
Phone (315) 782-4207

Other names 1

  • Tug Hill Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

7518 S State St
Ste 2
Lowville, NY 13367
Phone (315) 376-2273

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1235386285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 FACTORY ST",
            "address_2": "P.O. 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": "7518 S STATE ST",
            "address_2": "SUITE 2",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671531",
            "telephone_number": "315-376-2273",
            "fax_number": "315-376-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUG HILL URGENT MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "KASULKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD MEMBER",
        "authorized_official_telephone_number": "315-785-5420",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "127314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tug Hill Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.