Minimally Invasive Surgery of Oswego County, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

234085 Issued in NY

Legal business name

MINIMALLY INVASIVE SURGERY OF OSWEGO COUNTY, PLLC

Practice address

140 W 6TH St
Suite 270
Oswego, NY 13126-2525

Phone

(315) 342-3400

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alfred Augustine Santos, MDNPI 1518065937

Title

Minimally Invasive Surgeon

Phone

(315) 342-3400

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• none Doing business as

Locations

Practitioners 1

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

• Alfred Augustine Santos, MD

  • Surgery Physician
  • Dallas, TX
  • NPI 1518065937
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447476254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196",
            "address_2": "140 WEST SIXTH STREET SUITE 270",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131260196",
            "telephone_number": "315-342-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 6TH ST",
            "address_2": "SUITE 270",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262525",
            "telephone_number": "315-342-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGERY OF OSWEGO COUNTY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "AUGUSTINE",
        "authorized_official_title_or_position": "MINIMALLY INVASIVE SURGEON",
        "authorized_official_telephone_number": "315-342-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "234085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000925084001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5954225",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "376629",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01339211-046",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn E. Miller, M.D.
• Sarah Miller I, RN
• Alexandra Millham
• Kathy Mills, CRNA
• Briana Miner
• Erika Anne Mischenko, M.S., CCC-SLP
• Madison Kristin Mitchell
• Ashley Nicole Mitlitsky
• Wasim Mohsini, OD
• Malissa Ann Monaghan, LMHC

• Specialist in Oswego, NY
• Providers in Oswego, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.