Xavier Medical, PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

123005 Issued in NY

Legal business name

XAVIER MEDICAL, PC

Practice address

322 Main St
Oneida, NY 13421-2125

Phone

(315) 361-5000

Fax

(315) 361-1104

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Diego X Alvarez, MDNPI 1780661488

Title

President

Phone

(315) 361-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3536/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Diego X Alvarez, MD

  • Internal Medicine Physician
  • Oneida, NY
  • NPI 1780661488
  Medicare reassignment NPD Authorized official
• Leslie Carpenter Alvarez, LCSW-R

  • Clinical Social Worker
  • Oneida, NY
  • NPI 1912921750
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1447356746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MAIN STREET",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212125",
            "telephone_number": "315-361-5000",
            "fax_number": "315-361-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212125",
            "telephone_number": "315-361-5000",
            "fax_number": "315-361-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-361-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "123005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00231049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Pauline Wilson, PHARM. D.
• Emily Christine Wood
• Kathleen Ann Woodruff, RNC, FNP
• Shannon M Woods, NP
• Gregory J Wright, PA
• Gia D Youngs, NP
• Penelope Jean Yousey, LPN

• Pulmonary Disease Physician in Oneida, NY
• Providers in Oneida, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.