Active NPI
John Curtis Prindle, M.D.
- Family Medicine Physician
- Binghamton, NY
National Provider Identifier
1477546141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 099087-1
- Practice address
- 26 S. Washington Street
Binghamton, NY 13903 - Phone
- (607) 584-0011
- Fax
- (607) 584-0013
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 099087 | NY | |
| Family Medicine Physician | 207Q00000X | 099087-1 | NY | Primary |
Addresses
Primary practice location
26 S. Washington Street
Binghamton, NY 13903
Mailing address
1375 East 9TH Street
#1850
Cleveland, OH 44114
Phone (216) 443-0430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00435447 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099087-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Past | Accepting new patients | |
| Mobile Hyperbaric Centers, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Cleveland, OH
- NPI 1568410686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293062400000",
"number": "1477546141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 EAST 9TH STREET",
"address_2": "#1850",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44114",
"telephone_number": "216-443-0430",
"fax_number": "216-443-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 S. WASHINGTON STREET",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13903",
"telephone_number": "607-584-0011",
"fax_number": "607-584-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINDLE",
"first_name": "JOHN",
"middle_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2010-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "099087",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "099087-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00435447",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.