Oswego Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

251306 Issued in NY

Legal business name

OSWEGO SURGICAL ASSOCIATES, LLC

Practice address

38 Erie St
Oswego, NY 13126-3803

Phone

(315) 207-0670

Fax

(315) 207-0672

NPI assigned

Jan 10, 2009

Last updated

Mar 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aleksandr Sokolovsky, D.O.

Title

Owner/Member

Phone

(315) 207-0670

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1669619854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ERIE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263803",
            "telephone_number": "315-207-0670",
            "fax_number": "315-207-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ERIE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263803",
            "telephone_number": "315-207-0670",
            "fax_number": "315-207-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-10",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "SOKOLOVSKY",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "315-207-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "251306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "J100000143",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oswego Hospital (Oswego Hospital Reference Lab)
• Oswego Hospital
• Oswego Medical Consultants PC
• Oswego Pathology, PC
• Oswego Radiology, PC
• Jerry Pack, PT
• Monica Anne Pack, MA
• Elizabeth Leigh Page
• Allison Corinne Palmer, PT, DPT
• Faith Lynn Palmer, RN

• Surgery Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.