Beaumont Gastroenterology Services

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

230138 Issued in NY

Legal business name

BEAUMONT GASTROENTEROLOGY SERVICES

Practice address

14 Durkee St
Suite 125
Plattsburgh, NY 12901-2989

Phone

(518) 310-3890

Fax

(518) 536-9066

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Paolo Fedi, M.D.NPI 1043257819

Title

President

Phone

(518) 561-8679

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Paolo Fedi, MD

  • Gastroenterology Physician
  • Plattsburgh, NY
  • NPI 1043257819
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1679950430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 US OVAL",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033900",
            "telephone_number": "518-310-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DURKEE ST",
            "address_2": "SUITE 125",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012989",
            "telephone_number": "518-310-3890",
            "fax_number": "518-536-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT GASTROENTEROLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "FEDI",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-561-8679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "230138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Baughn, LMHC
• Marta Baxter
• Salem Bayoumy, M.D.
• Beach Medical Services
• Philip George Bean, OTR/L
• Michelle Bechard, LCSW-R
• Ricky Bechard
• Daniel Franklin Becker, M.D.
• Nichole Bedard, RN
• Stacey Lynn Beebie, LCSW

• Gastroenterology Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.