Organization Active NPI

Tri-County Family Medicine Program, Inc.

  • Family Medicine Physician
  • Canaseraga, NY
National Provider Identifier
1649474701
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
Practice address
12 N Church St
Canaseraga, NY 14822-9721
Phone
(607) 545-2111
Fax
(607) 545-2100
NPI assigned
Jun 13, 2007
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Karen A Stone
Title
Ceo
Phone
(585) 519-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12 N Church St
Canaseraga, NY 14822-9721

Mailing address

10869 State Route 36
Dansville, NY 14437-9444
Phone (585) 335-3100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1649474701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 STATE ROUTE 36",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379444",
            "telephone_number": "585-335-3100",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N CHURCH ST",
            "city": "CANASERAGA",
            "state": "NY",
            "postal_code": "148229721",
            "telephone_number": "607-545-2111",
            "fax_number": "607-545-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-519-1575"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canaseraga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.