Active NPI
Corry Medical Services, Inc
- General Practice Physician
- Clymer, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CORRY MEDICAL SERVICES, INC
- Practice address
- 354 Clymer Corry Rd
Clymer, NY 14724-9701 - Phone
- (716) 335-2248
- Fax
- (716) 355-4499
- NPI assigned
- Oct 17, 2006
- Last updated
- May 2, 2018
- Organization subpart
- Yes
- Parent organization
- CORRY MEDICAL SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Heller
- Title
- Cfo
- Phone
- (814) 664-4641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
354 Clymer Corry Rd
Clymer, NY 14724-9701
Mailing address
PO Box 21780
Belfast, ME 04915-4114
Phone (814) 664-4641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA9106 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Part of
- Susan M Kaufman D O
Locations
354 Clymer Corry Rd
Clymer, NY 14724
Phone (716) 355-2248
28 E Columbus Ave
Corry, PA 16407
Phone (814) 663-8025
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.
-
dba Clymer Health Center
- Rural Health Clinic/Center
- Clymer, NY
- NPI 1336527589
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Surgery Physician
- Schenectady, NY
- NPI 1700865714
-
- Surgery Physician
- Corry, PA
- NPI 1063421287
-
- Hospitalist Physician
- Macungie, PA
- NPI 1669440301
-
- Medical Physician Assistant
- Corry, PA
- NPI 1922028372
-
- Family Medicine Physician
- Corry, PA
- NPI 1790708493
-
- Emergency Medicine Physician
- Corry, PA
- NPI 1912975194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525219200000",
"number": "1538240684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21780",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154114",
"telephone_number": "814-664-4641",
"fax_number": "814-664-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 CLYMER CORRY RD",
"city": "CLYMER",
"state": "NY",
"postal_code": "147249701",
"telephone_number": "716-335-2248",
"fax_number": "716-355-4499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORRY MEDICAL SERVICES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORRY MEDICAL SERVICES, INC.",
"enumeration_date": "2006-10-17",
"last_updated": "2018-05-02",
"status": "A",
"authorized_official_last_name": "HELLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "814-664-4641",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA9106",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clymer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.