Active NPI
Frederic P Atkins, P.A.
- Physician Assistant
- Cobleskill, NY
National Provider Identifier
1407800352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004257
- Practice address
- 121 Legion Dr
Cobleskill, NY 12043-5111 - Phone
- (518) 254-3450
- Fax
- (518) 234-8449
- NPI assigned
- May 22, 2006
- Last updated
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004257 | NY | Primary |
Addresses
Primary practice location
121 Legion Dr
Cobleskill, NY 12043-5111
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (518) 254-3450
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004257 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
136 Parkway Dr
Cobleskill, NY 12043
Phone (518) 234-2555
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
Organizations & group practices 1
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.
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1407800352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133260725",
"telephone_number": "518-254-3450",
"fax_number": "518-234-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 LEGION DR",
"city": "COBLESKILL",
"state": "NY",
"postal_code": "120435111",
"telephone_number": "518-254-3450",
"fax_number": "518-234-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "FREDERIC",
"middle_name": "P",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cobleskill, NY
- Betty Lou Adamovich
- Adio Chiropractic PLLC (Adirondack Advanced Chiropractic)
- David John Aidone, NYS OPTICIAN
- Zavia Allen
- Laura J Astarita, COTA
- Patsy Anne Aversa, FNP
- Allesandra Badalucco, PT, DPT, CLT
- Victor Arthur Baldassari, OPHTHALMIC /DISPENSE
- Bassett Healthcare Cobleskill
- Bassett Hospital of Schoharie County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.