Canal Country PA Group, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CANAL COUNTRY PA GROUP, PLLC

Practice address

258 Genesee St Ste 203
Utica, NY 13502-4636

Phone

(315) 790-6600

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caitlin Ullman, PA-CNPI 1427617935

Title

Owner

Phone

(315) 534-4384

Specialties & licenses 1

Addresses

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.

• Caitlin A. Ullman, PA

  • Physician Assistant
  • Utica, NY
  • NPI 1427617935
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1437910031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 GENESEE ST STE 203",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 GENESEE ST STE 203",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024636",
            "telephone_number": "315-790-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAL COUNTRY PA GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ULLMAN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-534-4384",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Campanella
• Elizabeth A Campbell, FNP
• Heather Campbell
• Campola Chiropractic Services P.C. (Urgent Chiropractic Care)
• Michele Denise Campola
• Charlene Canales, MD
• Antonia Canuso-Reiner
• Keri L Cappelli, R.N.
• Geralyn Anne Caracas, RN
• Francis Anthony Carbone, RPH

• Physician Assistant in Utica, NY
• Providers in Utica, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.