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Utica Emergency Physicians, PC

Organization Active NPI Emergency Medicine Physician · New Hartford, NY

NPI 1447323019 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1447323019
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
UTICA EMERGENCY PHYSICIANS, PC
Practice address
1656 Champlin Ave
Emergency Room
New Hartford, NY 13413-1068
Phone
(315) 624-6635
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

Name
John G Keene, MD
Title
Owner
Phone
(518) 751-1016

Practitioners 45

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

View all 45

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207P00000X Yes

Addresses

Primary practice location

1656 Champlin Ave
Emergency Room
New Hartford, NY 13413-1068

Mailing address

802 Columbia St
Suite 2
Hudson, NY 12534-2306
Phone (518) 751-1016

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447323019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 COLUMBIA ST",
            "address_2": "SUITE 2",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342306",
            "telephone_number": "518-751-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "EMERGENCY ROOM",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131068",
            "telephone_number": "315-624-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA EMERGENCY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-751-1016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

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Sources for this page

Verify at the official NPI Registry.