Oswego Family Physicians PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

231144 Issued in NY

Legal business name

OSWEGO FAMILY PHYSICIANS PC

Practice address

110 W Utica St
Oswego, NY 13126-3047

Phone

(315) 342-2024

NPI assigned

May 14, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Oswego Family Physicians Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micheal D Stephens, M.D.

  • Family Medicine Physician
  • Oswego, NY
  • NPI 1659317980
  NPD

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1629489588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W UTICA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263047",
            "telephone_number": "315-342-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO FAMILY PHYSICIANS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NY",
            "license": "231144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oswego Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oswego County Health Department
• Oswego County Health Department
• Oswego County OB-GYN PC
• Oswego County Pathology PC
• Oswego Dental Health Associates, PLLC
• Oswego Family Physicians, PC
• Oswego Health
• Oswego Health Behavioral Services
• Oswego Hospital
• Oswego Hospital

• Non-Pharmacy Dispensing Site in Oswego, NY
• Providers in Oswego, NY by specialty
• Non-Pharmacy Dispensing Site in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.