Francis C Mayle III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

158508 Issued in NY

Practice address

2044 Route 32
Suite 4
Modena, NY 12548

Phone

(845) 883-5176

Fax

(845) 883-5177

NPI assigned

Dec 1, 2005

Last updated

Oct 10, 2007By the provider in NPPES

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 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Modena Family Practice, PC

  • Family Medicine Physician
  • Modena, NY
  • NPI 1912981044
  Authorized official Same address or phone

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1447234604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 ROUTE 32",
            "address_2": "SUITE 4",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "12548",
            "telephone_number": "845-883-5176",
            "fax_number": "845-883-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 ROUTE 32",
            "address_2": "SUITE 4",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "12548",
            "telephone_number": "845-883-5176",
            "fax_number": "845-883-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYLE",
        "first_name": "FRANCIS",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "158508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "0000000003010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "087050",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P494012",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10031757",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-USHC",
            "identifier": "575120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5902624",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NORTHEASTN",
            "identifier": "000470900001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 825",
            "identifier": "25562",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "141805299001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00852979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Jefferson
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• Kayla Mackey, R.N.
• Martins Foods of South Burlington LLC
• Modena Family Practice, PC
• Keri L Montross, PHARMD
• Pam Poisson, RPH
• Carline Pompee, REGISTERED NURSE
• Ellen Puleo

• Family Medicine Physician in Modena, NY
• Providers in Modena, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.