Active NPI
Canandaigua Orthopaedic Associates, PC
- Orthopaedic Surgery Physician
- Canandaigua, NY
National Provider Identifier
1508885583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CANANDAIGUA ORTHOPAEDIC ASSOCIATES, PC
- Practice address
- 229 Parrish St
Suite 100
Canandaigua, NY 14424-1791 - Phone
- (585) 394-1960
- Fax
- (585) 393-9232
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gillian Flynn, CMM
- Title
- Office Manager
- Phone
- (585) 394-1960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
229 Parrish St
Suite 100
Canandaigua, NY 14424-1791
Mailing address
514 S Main St
Suite a
Canandaigua, NY 14424-2203
Phone (585) 394-1960
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058034 | Other | NY | GHI |
| 01149577 | Medicaid | NY | |
| 0186584370 | Other | NY | EXCELLUS ROCHESTER MANAGE |
| 923295002 | Other | NY | HEALTHNOW |
National Provider Directory
National Provider DirectoryLocations
514 S Main St
Ste A
Canandaigua, NY 14424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1508885583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 S MAIN ST",
"address_2": "SUITE A",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242203",
"telephone_number": "585-394-1960",
"fax_number": "585-393-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 PARRISH ST",
"address_2": "SUITE 100",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241791",
"telephone_number": "585-394-1960",
"fax_number": "585-393-9232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANANDAIGUA ORTHOPAEDIC ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "GILLIAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "585-394-1960",
"authorized_official_credential": "CMM"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0058034",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01149577",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS ROCHESTER MANAGE",
"identifier": "0186584370",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW",
"identifier": "923295002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
- Canandaigua Dental Health, PLLC
- Canandaigua Emergency Squad, Inc
- Canandaigua Medical Group X-Ray
- Canandaigua Medical Group, P.C.
- Canandaigua Oral Surgery, PC
- Canandaigua Pediatric Dentistry ,PC
- Canandaigua Physical Therapy P.C.
- Canandaigua Smiles, LLC
- Canandaigua Trinity OB/GYN, PLLC
- Catherine Cantwell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.