Individual provider Active NPI

David Wemyss Stobie, PA

  • Physician Assistant
  • Seneca Falls, NY
National Provider Identifier
1528225034
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002800 Issued in NY
Practice address
1991 Balsley Rd
Seneca Falls, NY 13148-6725
Phone
(315) 539-9229
Fax
(315) 539-0940
NPI assigned
May 21, 2008
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002800 NY Primary

Addresses

Primary practice location

1991 Balsley Rd
Seneca Falls, NY 13148-6725

Mailing address

1991 Balsley Rd
Seneca Falls, NY 13148-6725
Phone (315) 539-9229

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000028 NY Practitioner - Physician Assistant 3577628213 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002800NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Feb 2, 2021 Accepting new patients
FLH Medical, PC CurrentSince Oct 1, 2017 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Feb 2, 2021 Accepting new patients

Locations

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

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

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

Interoperability endpoints

  • Direct secure messaging: dstobiepa@flhmedical.medentdirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1528225034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131486725",
            "telephone_number": "315-539-9229",
            "fax_number": "315-539-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131486725",
            "telephone_number": "315-539-9229",
            "fax_number": "315-539-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBIE",
        "first_name": "DAVID",
        "middle_name": "WEMYSS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

Verify at the official NPI Registry.