Active NPI
Medicor Associates Inc
- Internal Medicine Physician
- Fredonia, NY
National Provider Identifier
1699741140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICOR ASSOCIATES INC
- Doing business as
- Medicor Associates of Chautauqua Inc
- Practice address
- 12 Center St
Suite 1
Fredonia, NY 14063-1716 - Phone
- (716) 679-2233
- Fax
- (716) 679-9698
- NPI assigned
- Feb 24, 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
- G Jay Bishop, MD
- Title
- Corporation President
- Phone
- (716) 679-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12 Center St
Suite 1
Fredonia, NY 14063-1716
Mailing address
12 Center St
Suite 1
Fredonia, NY 14063
Phone (716) 679-2233
Other names 1
- Medicor Associates of Chautauqua Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1699741140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CENTER ST",
"address_2": "SUITE 1",
"city": "FREDONIA",
"state": "NY",
"postal_code": "14063",
"telephone_number": "716-679-2233",
"fax_number": "716-679-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CENTER ST",
"address_2": "SUITE 1",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140631716",
"telephone_number": "716-679-2233",
"fax_number": "716-679-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICOR ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "BISHOP",
"authorized_official_first_name": "G",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "CORPORATION PRESIDENT",
"authorized_official_telephone_number": "716-679-2233",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicor Associates of Chautauqua Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fredonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.