NPIMap

Organization Active NPI

Oswego Hospital

  • Anesthesiology Physician
  • Oswego, NY
National Provider Identifier
1255639043
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OSWEGO HOSPITAL
Practice address
110 W 6TH St
Oswego, NY 13126-2507
Phone
(315) 349-5511
Fax
(315) 349-5785
NPI assigned
Mar 3, 2011
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OSWEGO HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Eric T Campbell
Title
Cfo
Phone
(315) 349-5531

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3702000H NY
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

110 W 6TH St
Oswego, NY 13126-2507

Mailing address

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Other identifiers 5

IdentifierTypeStateIssuer
03359262MedicaidNY
00354485MedicaidNY
02369919MedicaidNY
01271109MedicaidNY
02997771MedicaidNY

Other names 1

  • Oswego Hospital Anesthesia Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001275 NY Part B Supplier - Clinic/Group Practice 4981686045 Receives reassigned benefits from 127 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oswego, NY; Pulaski, NY; Phoenix, NY; Parish, NY; Mexico, NY; Fulton, NY; Central Square, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oswego Hospital Anesthesia5 organizations share this tax ID, including this one
Part of
Oswego Hospital Anesthesia

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1255639043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSWEGO HOSPITAL",
        "enumeration_date": "2011-03-03",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-349-5531"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "3702000H",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03359262",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354485",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02369919",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01271109",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02997771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oswego Hospital Anesthesia Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.