NPIMap

Organization Active NPI

Auburn Memorial Medical Services, PC

Doing business as Auburn Orthopaedic Services

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
National Provider Identifier
1467151852
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
AUBURN MEMORIAL MEDICAL SERVICES, PC
Doing business as
Auburn Orthopaedic Services
Auburn Podiatry Services
Practice address
77 Nelson St Ste 210
Auburn, NY 13021-1941
Phone
(315) 567-0797
NPI assigned
Feb 24, 2023
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AUBURN MEMORIAL MEDICAL SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Katherine Conway-Russell
Title
Provider Enrollment Specialist
Phone
(315) 253-1838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

77 Nelson St Ste 210
Auburn, NY 13021-1941

Mailing address

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7576

Other names 2

  • Auburn Orthopaedic Services Doing business as
  • Auburn Podiatry Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Auburn Memorial Medical Services PC2 organizations share this tax ID, including this one
Part of
Auburn Memorial Medical Services PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1 Park Ave
Auburn, NY 13021
Phone (315) 252-7539

143 North St
Ste 1
Auburn, NY 13021
Phone (315) 253-1832

143 North St
Ste 2
Auburn, NY 13021
Phone (315) 252-5028

143 North St
Ste 4
Auburn, NY 13021
Phone (315) 252-5028

17 E Genesee St
Ste 303
Auburn, NY 13021
Phone (315) 253-9726

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

77 Nelson St
Ste 130
Auburn, NY 13021
Phone (315) 253-6891

77 Nelson St
Ste 230
Auburn, NY 13021
Phone (315) 252-9562

208 Township Blvd
Ste 100
Camillus, NY 13031
Phone (315) 252-7434

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 255

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 255

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1467151852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON ST STE 210",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211941",
            "telephone_number": "315-567-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN MEMORIAL MEDICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUBURN MEMORIAL MEDICAL SERVICES, PC",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "CONWAY-RUSSELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "315-253-1838"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Orthopaedic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Auburn Podiatry Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.