Active NPI
Physician Services of the Finger Lakes PLLC
- Pain Medicine (Anesthesiology) Physician
- Elmira, NY
National Provider Identifier
1356530760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 181228
- Legal business name
- PHYSICIAN SERVICES OF THE FINGER LAKES PLLC
- Practice address
- 600 Roe Avenue
Elmira, NY 14905 - Phone
- (607) 737-4100
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent Samter, MD
- Title
- Owner
- Phone
- (607) 733-3639
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 181228 | NY | Primary |
Addresses
Primary practice location
600 Roe Avenue
Elmira, NY 14905
Mailing address
PO Box 926
Elmira, NY 14901
Phone (607) 733-3639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01182865 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1356530760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 926",
"city": "ELMIRA",
"state": "NY",
"postal_code": "14901",
"telephone_number": "607-733-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ROE AVENUE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "14905",
"telephone_number": "607-737-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN SERVICES OF THE FINGER LAKES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "SAMTER",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "607-733-3639",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "181228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01182865",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.