Organization Active NPI

Medicor Associates Inc

  • Internal Medicine Physician
  • Fredonia, NY
National Provider Identifier
1699741140
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jan 9, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.