Oneida Medical Practice, PC
Organization Active NPI Podiatrist · Oneida, NY
NPI 1356869838 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1356869838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- ONEIDA MEDICAL PRACTICE, PC
- Practice address
- 125 Fields Dr
Oneida, NY 13421-2642 - Phone
- (315) 361-2205
- Fax
- (315) 363-1618
- NPI assigned
- Sep 5, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- ONEIDA MEDICAL PRACTICE, PC
Authorized official
- Name
- Dr. Harry Capone, MD
- Title
- President/Medical Director
- Phone
- (315) 697-2033
Other NPIs on the same Medicare enrollment 1
Practitioners 62
-
Uzma Abbasi, M.D.
-
Kayla Ackerman, MD
-
M Shane Angleton, P.A.
-
Harry E Capone, MD
-
Kinkee Chung, D.O.
-
Melissa Cignarale, AU.D.
-
Kevin James Crable, D.P.M.
-
Thomas Cummings, MD
-
Kapriel Danadian, MD
-
Panya Drake, AGNP-C
-
William M Dutch Jr., DPM
-
Tammy Farr, FNP-BC
-
Anthony Feghali, MD
-
Adam Paul Fenton, PA
-
Peter Daniel Fleming, PA-C
-
Renee Frawley, RPA-C
-
Ellen Goodwater, NP
-
Mary Ellen Greco, MD
-
Islam Ahmed Hassan, D.O.
-
Jillian M Ives, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080207000050 | NY | Part B Supplier - Clinic/Group Practice | 9830272350 |
Receives reassigned benefits from 65 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vernon, NY; Rome, NY; Oneida, NY; Canastota, NY; Camden, NY |
National Provider Directory
- Part of
- Oneida Medical Practice PC
Locations
90 Taberg St
Camden, NY 13316
Phone (315) 245-5483
7137 Mount Pleasant Rd
Canastota, NY 13032
Phone (315) 697-2033
421 Main St
Oneida, NY 13421
Phone (315) 363-2350
301 Genesee St
Ste D
Oneida, NY 13421
Phone (315) 363-9380
607 Seneca St
Lowr
Oneida, NY 13421
Phone (315) 361-2999
301 Genesee St
Ste A
Oneida, NY 13421
Phone (315) 361-2385
125 Fields Dr
Oneida, NY 13421
Phone (315) 361-2205
321 Genesee St
Fl 3
Oneida, NY 13421
Phone (315) 606-2705
603 Seneca St
Ste 1
Oneida, NY 13421
Phone (315) 363-2123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
125 Fields Dr
Oneida, NY 13421-2642
Mailing address
125 Fields Dr
Attn: Podiatry
Oneida, NY 13421-2642
Phone (315) 361-2205
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03357884 | Medicaid | NY |
Other names
- Podiatry Specialists of Oneida
Other providers in Oneida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.