NPIMap

Individual provider Active NPI

John Sparrow Duffy, MD

  • Family Medicine Physician
  • Canton, NY
National Provider Identifier
1295710358
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
284577 Issued in NY
Practice address
39 West Main Street
Canton, NY 13617
Phone
(315) 379-4700
Fax
(315) 713-6512
NPI assigned
Dec 13, 2005
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 284577 NY Primary

Addresses

Primary practice location

39 West Main Street
Canton, NY 13617

Mailing address

39 West Main Street
Canton, NY 13617
Phone (315) 379-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001985 NY Practitioner - Family Practice 2163317405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

Practice addresses (Care Compare)

100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

117 N Mechanic St
Carthage, NY 13619-1252
Phone (315) 493-4187

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

2263 State Hwy 310
Madrid, NY 13660-3224
Phone (315) 322-8947

3 Bridge St
Carthage, NY 13619-1353

3 Bridge St
Carthage, NY 13619-1360
Phone (315) 493-0110

39 W Main St
Canton, NY 13617-1358
Phone (315) 379-4700

4 Commerce LN
Canton, NY 13617-3739
Phone (315) 386-8191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Jun 8, 2024 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Jun 8, 2024 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Aug 3, 2020 Accepting new patients
Mary Rutan Hospital Family Medicine Past Accepting new patients
Graybar Chiropractic, Inc. Past Accepting new patients
North Raleigh Ophthalmology, P.a. Past Accepting new patients
Advanced Integrated Medical Family Medicine Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

Interoperability endpoints

  • Direct secure messaging: jduffy@cahclinics.medentdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1295710358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WEST MAIN STREET",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-379-4700",
            "fax_number": "315-713-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WEST MAIN STREET",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-379-4700",
            "fax_number": "315-713-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "JOHN",
        "middle_name": "SPARROW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "284577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.