Faxton St Lukes Healthcare

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

3202003H Issued in NY

Legal business name

FAXTON ST LUKES HEALTHCARE

Practice address

91 Perimeter Rd
Ste. 140
Rome, NY 13441

Phone

(315) 334-4786

Fax

(315) 624-5152

NPI assigned

Oct 5, 2006

Organization subpart

Yes

Parent organization

FAXTON ST LUKES HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Cody White

Title

Revenue Cycle Director

Phone

(315) 801-4429

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

MVHS Inc

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1598851545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST/ BUSINESS OFFICE",
            "address_2": "ROOM #315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015809",
            "telephone_number": "315-801-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD",
            "address_2": "STE. 140",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13441",
            "telephone_number": "315-334-4786",
            "fax_number": "315-624-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAXTON ST LUKES HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAXTON ST LUKES HEALTHCARE",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "315-801-4429"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "3202003H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Family Home Care Inc
• Rose Farewege, M.A. CCC-SP/L
• Paul A Farino
• Jaclyn Farley, PHARM.D
• Virginia H Farr, SLP
• Paula A Fedors
• Robert A. Feeney, M.D.
• George Felemegos, M.D
• Richard Stuart Feltman, M.D.
• Joseph Frank Femia, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rome, NY
• Providers in Rome, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.