Farmington Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

176102 Issued in NY

Legal business name

FARMINGTON FAMILY PRACTICE PC

Practice address

495 N Main St
Canandaigua, NY 14424-1283

Phone

(585) 393-3515

Fax

(585) 393-3515

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Laurel A Dallmeyer, MD

Title

Owner

Phone

(585) 393-3515

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Laurel A Dallmeyer Other name

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1528281599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 N MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241283",
            "telephone_number": "585-393-3515",
            "fax_number": "585-393-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241283",
            "telephone_number": "585-393-3515",
            "fax_number": "585-393-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "DALLMEYER",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-393-3515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "176102",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2394701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F3330031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01388256",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "0186790370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel A Dallmeyer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cheryl Lynn Eveland, R.N.
• Nicholas Edward Evertz, DC
• Zoe Fackelman, PT
• Family Counseling Service of the Finger Lakes, Inc.
• Meridith Fargnoli, RD
• Tami L. Farnsworth, MSED
• Sharon M Fell, LMSW
• Erin M Fennelly
• Kathleen Marie Fenton
• Ellen Paulette Ferrara, LCSW

• Family Medicine Physician in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.