Organization Active NPI

Strong Panorama Internal Medicine

  • Internal Medicine Physician
  • Penfield, NY
National Provider Identifier
1578507323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STRONG PANORAMA INTERNAL MEDICINE
Practice address
2212 Penfield Road
Suite 200
Penfield, NY 14526-1753
Phone
(585) 598-8565
Fax
(585) 388-6393
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Martin J. Haibach
Title
Director Finance & Administration
Phone
(585) 273-4607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2212 Penfield Road
Suite 200
Penfield, NY 14526-1753

Mailing address

2212 Penfield Road
Suite 200
Penfield, NY 14526-1753
Phone (585) 598-8565

National Provider Directory

National Provider Directory

Locations

2067 Nine Mile Point Rd
Ste 110
Penfield, NY 14526
Phone (585) 922-0460

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578507323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 PENFIELD ROAD",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261753",
            "telephone_number": "585-598-8565",
            "fax_number": "585-388-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 PENFIELD ROAD",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261753",
            "telephone_number": "585-598-8565",
            "fax_number": "585-388-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG PANORAMA INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIBACH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "585-273-4607"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.