Individual provider Active NPI

Taryn Price Draxler, M.D.

  • Internal Medicine Physician
  • Penn Yan, NY
National Provider Identifier
1457464422
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
239369-1 Issued in NY
Practice address
418 N Main St
Keuka Health Care
Penn Yan, NY 14527-1070
Phone
(315) 536-3308
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 239369-1 NY Primary

Addresses

Primary practice location

418 N Main St
Keuka Health Care
Penn Yan, NY 14527-1070

Mailing address

418 N Main St
Penn Yan, NY 14527-1070
Phone (315) 536-3308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000406 NY Practitioner - Internal Medicine 4082611694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239369-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC CurrentSince May 5, 2014 Accepting new patients
FLH Medical, PC CurrentSince May 5, 2014 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 5, 2009 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 5, 2009 Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

196 North St
Geneva, NY 14456
Phone (315) 787-4156

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1457464422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271070",
            "telephone_number": "315-536-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "address_2": "KEUKA HEALTH CARE",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271070",
            "telephone_number": "315-536-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAXLER",
        "first_name": "TARYN",
        "middle_name": "PRICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239369-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

Verify at the official NPI Registry.