Rural Infectious Disease Specialist

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

RURAL INFECTIOUS DISEASE SPECIALIST

Practice address

522 S 4TH St Ste 1700
Fulton, NY 13069-2918

Phone

(877) 279-3511

Fax

(585) 625-3855

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Avrille George, MDNPI 1770734782

Title

Owner

Phone

(877) 279-3511

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, and the practitioner matching its NPPES authorized official.

• Avrille B George, MD

  • Infectious Disease Physician
  • Syracuse, NY
  • NPI 1770734782
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1689037244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2878",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202878",
            "telephone_number": "877-279-3511",
            "fax_number": "585-625-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S 4TH ST STE 1700",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692918",
            "telephone_number": "877-279-3511",
            "fax_number": "585-625-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL INFECTIOUS DISEASE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "AVRILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-279-3511",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Rogall, M.D.
• Melissa Lynn Rogers, FNP-BC
• Kerri Lynn Rollin
• Lauren Rosenstein, LMSW
• Dilip K Roy
• Rajeev Saini, M.D.
• Elizabeth Salm-Barnes, LMSW
• Amy Sargent Westermann, LMHC
• Brooke E Saunderson, LMT
• Jennifer Lynn Scaringi, LPN

• Infectious Disease Physician in Fulton, NY
• Providers in Fulton, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.