Organization Active NPI

Lake Ontario Prompt Medical Care, PLLC

  • Urgent Care Clinic/Center
  • Oswego, NY
National Provider Identifier
1407285232
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
164385 Issued in NY
Legal business name
LAKE ONTARIO PROMPT MEDICAL CARE, PLLC
Practice address
300 State Route 104
Suite 2
Oswego, NY 13126-2956
Phone
(315) 216-4036
Fax
(315) 216-4560
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Mrs. Sunil Ram
Title
Ceo
Phone
(315) 216-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 164385 NY Primary

Addresses

Primary practice location

300 State Route 104
Suite 2
Oswego, NY 13126-2956

Mailing address

300 State Route 104
Suite 2
Oswego, NY 13126-2956
Phone (315) 342-0030

Other identifiers 2

IdentifierTypeStateIssuer
1003928953OtherNYNPI
3884939MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1407285232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104",
            "address_2": "SUITE 2",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-342-0030",
            "fax_number": "315-216-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104",
            "address_2": "SUITE 2",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-216-4036",
            "fax_number": "315-216-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ONTARIO PROMPT MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "RAM",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-216-6687",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "164385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003928953",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3884939",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.