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Organization Active NPI

Aurelia Osborn Fox Memorial Hospital Sohc

  • Family Medicine Physician
  • Worcester, NY
National Provider Identifier
1417213158
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209421 Issued in NY
Legal business name
AURELIA OSBORN FOX MEMORIAL HOSPITAL SOHC
Practice address
4 Decatur Street
Worcester, NY 12197
Phone
(607) 397-8783
NPI assigned
Apr 6, 2012
Last updated
Apr 6, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
AURELIA OSBORN FOX MEMORIAL HOSPITAL SOHCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Tracey Smith
Title
Staff Accountant
Phone
(607) 431-5305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209421 NY Primary

Addresses

Primary practice location

4 Decatur Street
Worcester, NY 12197

Mailing address

1 Norton Ave
Oneonta, NY 13820-2629

National Provider Directory

National Provider Directory
Tax ID family
Aurelia Osborn Fox Memo19 organizations share this tax ID, including this one
Part of
Aurelia Osborn Fox Memo

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1417213158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTON AVE",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DECATUR STREET",
            "city": "WORCESTER",
            "state": "NY",
            "postal_code": "12197",
            "telephone_number": "607-397-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURELIA OSBORN FOX MEMORIAL HOSPITAL SOHC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AURELIA OSBORN FOX MEMORIAL HOSPITAL SOHC",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "STAFF ACCOUNTANT",
        "authorized_official_telephone_number": "607-431-5305"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.