Marcellus Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

127430 Issued in NY

Legal business name

MARCELLUS FAMILY MEDICINE PLLC

Practice address

28 1/2 E Main St
Marcellus, NY 13108-1226

Phone

(315) 673-9926

NPI assigned

Sep 29, 2007

Last updated

Sep 29, 2007By 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

Andrew J MerrittNPI 1548291248

Title

Owner

Phone

(315) 673-9926

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

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.

• John A Alley, MD

  • Family Medicine Physician
  • Marcellus, NY
  • NPI 1598727554
  Medicare reassignment Care Compare group NPD
• Iryna Artymovych, FNP

  • Family Medicine Physician
  • Marcellus, NY
  • NPI 1083503486

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kathryn Rose Jordan, NP

  • Family Nurse Practitioner
  • Marcellus, NY
  • NPI 1881580264
  Medicare reassignment Care Compare group NPD
• Andrew J Merritt, MD

  • Family Medicine Physician
  • Marcellus, NY
  • NPI 1548291248
  Medicare reassignment NPD Authorized official
• Reina Baizan, NP

  • Family Nurse Practitioner
  • Marcellus, NY
  • NPI 1619548047
  Medicare reassignment NPD
• Katherine Bailey Halstead, FNP

  • Family Nurse Practitioner
  • Marcellus, NY
  • NPI 1528670593
  Medicare reassignment NPD
• Erika Obrist, NP

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1386321875
  Medicare reassignment NPD
• Mikela Elizabeth Reinhart, FNP

  • Family Nurse Practitioner
  • Aurora, CO
  • NPI 1205506714

  Family Medicine, NY

  Medicare reassignment NPD
• Bethany Sly, PA

  • Physician Assistant
  • Liverpool, NY
  • NPI 1073067732
  Medicare reassignment
• Anita Joy, ANP

  • Adult Health Nurse Practitioner
  • North Syracuse, NY
  • NPI 1407011158
  NPD

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191024000000",
    "number": "1245427640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 1/2 E MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 1/2 E MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081226",
            "telephone_number": "315-673-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLUS FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-09-29",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-673-9926"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "127430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellissa Sorbello Mahler, LCSW,LMSW
• Main Street Pharmacy of Marcellus, Inc.
• Marcellus Ambulance Volunteer Emergency Services, Inc.
• Marcellus Central School District
• Marcellus Family and Cosmetic Dentistry, PC
• Marcellus Family Medicine PLLC (Marcellus Family Medicine)
• Marcellus Medical Group PLLC
• Laura Jean McManus, MA, RDN, CDN, CLC
• Hazel Helen Meaney, LPN
• Andrew J Merritt, MD

• Family Medicine Physician in Marcellus, NY
• Providers in Marcellus, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; 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.