Michael A Mairs, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

179146 Issued in NY

Practice address

185 Second Ave
Gloversville, NY 12078-2510

Phone

(518) 773-2700

Fax

(518) 725-0527

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Temple University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1366426520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "ROUND LAKE",
            "state": "NY",
            "postal_code": "121510416",
            "telephone_number": "518-773-2700",
            "fax_number": "518-725-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SECOND AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782510",
            "telephone_number": "518-773-2700",
            "fax_number": "518-725-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIRS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "179146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01319635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Luthi, RN
• Meredith Ann Lynds, PT, DPT
• Rebecca Lyons, OTR/L
• Elizabeth Magliocca, RN
• Mahakali Corporation
• Tina Marie Makarowsky
• Caroline Malachowski, RN
• Jean M. Malone, LMHC
• Melissa Maloney
• Mark Caffrey

• Ophthalmology Physician in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.