Active NPI
Finger Lakes Orthopedic Surgery,P.C.
- Legal Medicine
- Elmira, NY
National Provider Identifier
1699712505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 145863
- Legal business name
- FINGER LAKES ORTHOPEDIC SURGERY,P.C.
- Practice address
- 300 Hoffman St
Elmira, NY 14905-2263 - Phone
- (607) 734-4110
- Fax
- (607) 734-0344
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark D Gibson, M.D.
- Title
- President
- Phone
- (607) 734-4110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 145863 | NY | Primary |
Addresses
Primary practice location
300 Hoffman St
Elmira, NY 14905-2263
Mailing address
300 Hoffman St
Elmira, NY 14905-2263
Phone (607) 734-4110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01287576 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
200 Madison Ave
Ste A
Elmira, NY 14901
Phone (607) 733-3097
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Elmira, NY
- NPI 1396757753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1699712505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOFFMAN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149052263",
"telephone_number": "607-734-4110",
"fax_number": "607-734-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOFFMAN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149052263",
"telephone_number": "607-734-4110",
"fax_number": "607-734-0344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FINGER LAKES ORTHOPEDIC SURGERY,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "607-734-4110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "NY",
"license": "145863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01287576",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.